Organization Active NPI

Upstate Vision Care, PLLC

  • Contact Lens Technician/Technologist
  • Glens Falls, NY
National Provider Identifier
1629549399
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens Technician/TechnologistTaxonomy code 156FC0800X
Legal business name
UPSTATE VISION CARE, PLLC
Practice address
206 Glen St. Suite 31B
Colvin Building
Glens Falls, NY 12801
Phone
(518) 744-7136
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Mrs. Amy L St.John, OPTHALMIC DISPENSER
Title
Owner/Nys Licensed Optician
Phone
(518) 744-7136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 156FC0800X Primary

Addresses

Primary practice location

206 Glen St. Suite 31B
Colvin Building
Glens Falls, NY 12801

Mailing address

206 Glen St. Suite 31B
Colvin Building
Glens Falls, NY 12801
Phone (518) 744-7136

Other identifiers 1

IdentifierTypeStateIssuer
1275000853OtherNYINDIVIDUAL

National Provider Directory

National Provider Directory

Locations

206 Glen St
Ste 31B
Glens Falls, NY 12801
Phone (518) 744-7136

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1629549399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GLEN ST. SUITE 31B",
            "address_2": "COLVIN BUILDING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-744-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GLEN ST. SUITE 31B",
            "address_2": "COLVIN BUILDING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-744-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE VISION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "ST.JOHN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/NYS LICENSED OPTICIAN",
        "authorized_official_telephone_number": "518-744-7136",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTHALMIC DISPENSER"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL",
            "identifier": "1275000853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.