Organization Active NPI

Alyssa a Putman Optometrist PC

Doing business as Oasis Eye Care

  • Optometrist
  • Elmira, NY
National Provider Identifier
1710730635
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALYSSA A PUTMAN OPTOMETRIST PC
Doing business as
Oasis Eye Care
Practice address
382 W Church St
Elmira, NY 14901-2621
Phone
(607) 733-2694
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Dr. Alyssa A Putman, ODNPI 1407108624
Title
Optometrist
Phone
(607) 368-0529

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 Primary

Addresses

Primary practice location

382 W Church St
Elmira, NY 14901-2621

Mailing address

17 Meadow LN
Painted Post, NY 14870-9318

Other names 1

  • Oasis Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240528000681 NY Part B Supplier - Clinic/Group Practice 7012359722 Receives reassigned benefits from 1 practitioner
Practice locations: Elmira, NY

National Provider Directory

National Provider Directory

Locations

382 W Church St
Elmira, NY 14901
Phone (607) 733-2694

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": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1710730635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MEADOW LN",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012621",
            "telephone_number": "607-733-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYSSA A PUTMAN OPTOMETRIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "PUTMAN",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "607-368-0529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oasis Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.