Individual provider Active NPI

Dana C Rohleder, OD

  • Optometrist
  • Plattsburgh, NY
National Provider Identifier
1669433355
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0059031 Issued in NY
Practice address
110 Consumer Square
Empire Vision Centers
Plattsburgh, NY 12901
Phone
(518) 562-0200
Fax
(518) 562-3647
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0059031 NY Primary

Addresses

Primary practice location

110 Consumer Square
Empire Vision Centers
Plattsburgh, NY 12901

Mailing address

450 Margaret St
Plattsburgh, NY 12901-1755
Phone (518) 566-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000010 NY Practitioner - Optometry 8426186560 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0059031NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care for the Adirondacks Associates in Ophthalmology, PC CurrentSince May 1, 2017 Accepting new patients
Eye Care for the Adirondacks Associates in Ophthalmology PC CurrentSince May 1, 2017 Accepting new patients
Juli a. Larson MD PLLC CurrentSince Oct 15, 2021 Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

71 Smithfield Blvd
Plattsburgh, NY 12901
Phone (802) 862-1808

450 Margaret St
Plattsburgh, NY 12901
Phone (518) 561-5180

51 Woodruff St
Saranac Lake, NY 12983
Phone (518) 891-8412

1100 Hinesburg Rd
#201
South Burlington, VT 05403
Phone (802) 862-1808

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1669433355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MARGARET ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011755",
            "telephone_number": "518-566-2020",
            "fax_number": "518-566-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CONSUMER SQUARE",
            "address_2": "EMPIRE VISION CENTERS",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "12901",
            "telephone_number": "518-562-0200",
            "fax_number": "518-562-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLEDER",
        "first_name": "DANA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0059031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.