Organization Active NPI

Michelle L Hall, OD, PLLC

  • Optometrist
  • Schenectady, NY
National Provider Identifier
1669721841
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005806-1 Issued in NY
Legal business name
MICHELLE L HALL, OD, PLLC
Practice address
3770 Carman Road
#6B
Schenectady, NY 12303
Phone
(518) 982-0123
Fax
(518) 982-0124
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Dr. Michelle L Hall, ODNPI 1992767081
Title
Owner/Manager
Phone
(518) 428-8422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT005806-1 NY Primary

Addresses

Primary practice location

3770 Carman Road
#6B
Schenectady, NY 12303

Mailing address

3770 Carman Road
#6B
Schenectady, NY 12303
Phone (518) 982-0123

Other names 1

  • Advanced Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

3770 Carman Rd
#6B
Schenectady, NY 12303
Phone (518) 982-0123

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1669721841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 CARMAN ROAD",
            "address_2": "#6B",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12303",
            "telephone_number": "518-982-0123",
            "fax_number": "518-982-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 CARMAN ROAD",
            "address_2": "#6B",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12303",
            "telephone_number": "518-982-0123",
            "fax_number": "518-982-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE L HALL, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "518-428-8422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005806-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.