Active NPI
Linda Resto, OD
- Optometrist
- Newburgh, NY
National Provider Identifier
1619983731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0049311
- Practice address
- 1201 Rte 300
Newburgh, NY 12550 - Phone
- (845) 567-0174
- Fax
- (845) 567-3098
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV0049311 | NY | Primary |
Addresses
Primary practice location
1201 Rte 300
Newburgh, NY 12550
Mailing address
152 Chandler Lane
Montgomery, NY 12549
Phone (845) 457-4576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01081410 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV0049311 | NY | MD | Optometrist |
| 004931 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619983731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 CHANDLER LANE",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "12549",
"telephone_number": "845-457-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 RTE 300",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "12550",
"telephone_number": "845-567-0174",
"fax_number": "845-567-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESTO",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV0049311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01081410",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.