Dr Elisa Perreault Optometrist PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT-005329 Issued in NY

Legal business name

DR ELISA PERREAULT OPTOMETRIST PC

Practice address

952 Troy Schenectady Rd
Latham, NY 12110-1608

Phone

(518) 785-1199

Fax

(518) 785-1199

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Elisa Perreault, O.D.

Title

President

Phone

(518) 785-1199

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Stephanie Marie Reagan, O.D.

  • Optometrist
  • New Paltz, NY
  • NPI 1992016299
  NPD (past)

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1629297759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101608",
            "telephone_number": "518-785-1199",
            "fax_number": "518-785-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101608",
            "telephone_number": "518-785-1199",
            "fax_number": "518-785-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ELISA PERREAULT OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "PERREAULT",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-785-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT-005329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4125247",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10020324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Dischiavo
• Christine Divirgilio, PTA
• Emily Jo Donnells, MSED.
• Madison Donnelly, PA-C
• Kayla Donohue, LMSW
• Rae Danett Drach
• Kristen Marie Driscoll, PHARMD
• Richelle Drowne, LMHC
• Druable Home Supply LLC
• Huguette L Dubois, RN

• Optometrist in Latham, NY
• Providers in Latham, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.