NPIMap

Organization Active NPI

Rocco F Loccisano & Roberta Basile Loccisano PTRS.

  • Optometrist
  • Latham, NY
National Provider Identifier
1629246004
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004680-1 Issued in NY
Legal business name
ROCCO F LOCCISANO & ROBERTA BASILE LOCCISANO PTRS.
Practice address
400 Troy Schenectady Rd
Latham, NY 12110-3211
Phone
(518) 785-7891
Fax
(518) 785-3927
NPI assigned
Feb 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Rocco F Loccisano, O.D.NPI 1316963119
Title
Optometrist
Phone
(518) 785-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV004680-1 NY Primary

Addresses

Primary practice location

400 Troy Schenectady Rd
Latham, NY 12110-3211

Mailing address

400 Troy Schenectady Rd
Latham, NY 12110-3211
Phone (518) 785-7891

Other names 1

  • Latham Family Vision Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1629246004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103211",
            "telephone_number": "518-785-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103211",
            "telephone_number": "518-785-7891",
            "fax_number": "518-785-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCCO F LOCCISANO & ROBERTA BASILE LOCCISANO PTRS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "LOCCISANO",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "518-785-7891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latham Family Vision",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.