Active NPI
Pecora Ophthalmology Practice PLLC
- Ophthalmology Physician
- Endicott, NY
National Provider Identifier
1609943604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PECORA OPHTHALMOLOGY PRACTICE PLLC
- Practice address
- 1207 E Main St
Endicott, NY 13760-5219 - Phone
- (607) 785-3043
- Fax
- (607) 785-9093
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Margaret B Quezada, CPC
- Title
- CPC
- Phone
- (607) 785-3043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1207 E Main St
Endicott, NY 13760-5219
Mailing address
1207 E Main St
Endicott, NY 13760-5219
Phone (607) 785-3043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059345809 | Other | NY | BLUE SHIELD CNY |
Other names 1
- Eye Sight Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- tbrown@pecora.intellechartdirect.net
- lpecora@pecora.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Johnson City, NY
- NPI 1578982682
-
- Ophthalmology Physician
- Endicott, NY
- NPI 1992891386
-
- Optometrist
- Greene, NY
- NPI 1124114442
-
- Optometrist
- Athens, PA
- NPI 1952366122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1609943604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 E MAIN ST",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137605219",
"telephone_number": "607-785-3043",
"fax_number": "607-785-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 E MAIN ST",
"city": "ENDICOTT",
"state": "NY",
"postal_code": "137605219",
"telephone_number": "607-785-3043",
"fax_number": "607-785-9093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PECORA OPHTHALMOLOGY PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "QUEZADA",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CPC",
"authorized_official_telephone_number": "607-785-3043",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPC"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD CNY",
"identifier": "059345809",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye Sight Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.