Active NPI
Upstate Vision Care, PLLC
- Contact Lens Technician/Technologist
- Glens Falls, NY
National Provider Identifier
1629549399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Technician/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275000853 | Other | NY | INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
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.