Theodore N Isseks MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

117110 Issued in NY

Legal business name

THEODORE N ISSEKS MD PC

Doing business as

Family Optical

Practice address

5518 State Route 55
Liberty, NY 12754

Phone

(845) 292-1111

Fax

(845) 292-1821

NPI assigned

May 15, 2008

Organization subpart

Yes

Parent organization

THEODORE N ISSEKS MD PCAs reported in NPPES

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

Authorized official

Name

Theodore Nathan Isseks, MD

Title

Owner

Phone

(845) 292-1111

Specialties & licenses 1

Addresses

Other names 1

• Family Optical Doing business as

Part of

Theodore N Isseks MD P

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1720255060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 STATE ROUTE 55",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "12754",
            "telephone_number": "845-292-1111",
            "fax_number": "845-292-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5518 STATE ROUTE 55",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "12754",
            "telephone_number": "845-292-1111",
            "fax_number": "845-292-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE N ISSEKS MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THEODORE N ISSEKS MD PC",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "ISSEKS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-292-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "117110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Sullivan, L.P.N.
• Supplies Four Health Inc.
• Cori Marie Surerus
• Jon K Sutherland, D.D.S.
• Ashley Lynn Theadore
• Theodore N. Isseks, M.D., P.C.
• Phyllis Thomas-Moore, RN
• Debra Mae Tompkins, R.N.
• Jennifer J Tompkins, RN
• Town of Liberty Volunteer Ambulance Corps Inc

• Ophthalmology Physician in Liberty, NY
• Providers in Liberty, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.