Tri-County Eye Care and Optometry PC

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

TUV006839-1 Issued in NY

Legal business name

TRI-COUNTY EYE CARE AND OPTOMETRY PC

Practice address

3685 Burgoyne Ave
Hudson Falls, NY 12839-2168

Phone

(518) 747-4100

Fax

(518) 747-6151

NPI assigned

Jan 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monica Redmond, ODNPI 1770656191

Title

Optometrist

Phone

(518) 747-4100

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Redmond, OD

  • Optometrist
  • Hudson Falls, NY
  • NPI 1770656191
  Medicare reassignment NPD Authorized official
• Kinsey Maureen Beshara

  • Optometrist
  • Saratoga Springs, NY
  • NPI 1558006585
  NPD
• Patrick Harold McCullough, D.D.S.

  • General Practice Dentistry
  • Hudson Falls, NY
  • NPI 1629110705
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1629124649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 BURGOYNE AVE",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128392168",
            "telephone_number": "518-747-4100",
            "fax_number": "518-747-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 BURGOYNE AVE",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128392168",
            "telephone_number": "518-747-4100",
            "fax_number": "518-747-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY EYE CARE AND OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "518-747-4100",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV006839-1",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV006839-1",
            "primary": true
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "NY",
            "license": "TUV006839-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "782077",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10089360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000408532001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "C369F1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mya Stone, PHARMD
• Heather Yvonne Sullivan, RN
• Linda Marcotte Tatar, LCSW
• Catherine Olivia Thomson
• Shannon Traver
• Anita May Tripp, BSN, RN
• Uvbiotek LLC
• Cecile Ann Valastro, MS., CCC-SLP
• John Francis Van Schaick, DDS
• Jayne Marie Vanschaick, DDS

• Pediatric Optometrist in Hudson Falls, NY
• Providers in Hudson Falls, NY by specialty
• Pediatric Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.

Verify at the official NPI Registry.