Individual provider Active NPI

Thomas Morrissey, O.D.

  • Optometrist
  • Schenectady, NY
National Provider Identifier
1750495453
Registry record updated Aug 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4312 Issued in NY
Practice address
1426 Altamont Ave
Schenectady, NY 12303-2979
Phone
(518) 355-0795
Fax
(518) 355-1208
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 4312 NY Primary

Addresses

Primary practice location

1426 Altamont Ave
Schenectady, NY 12303-2979

Mailing address

1426 Altamont Ave
Schenectady, NY 12303-2979
Phone (518) 355-0795

Other identifiers 2

IdentifierTypeStateIssuer
10002748OtherNYCDPHP
603261OtherNYMVP

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
I20050105000794 NY Practitioner - Optometry 0042278343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donna Goukler OD PCGroup PAC ID 2769822477, 9 clinicians

Practice addresses (Care Compare)

266 Delaware Ave
Delmar, NY 12054-1134
Phone (518) 439-6309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004312NYMDBehavioral Analyst
4312NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Goukler, O.D., P.C. Optometrist CurrentSince Mar 12, 2024 Accepting new patients
Consumer Optical Co Inc Optometrist CurrentSince Apr 30, 2018 Accepting new patients
Dinapoli & Dinapoli, Inc. Optometrist Past Accepting new patients
Dinapoli & Dinapoli, Inc. Past Accepting new patients

Locations

1475 Western Ave
Ste 41
Albany, NY 12203
Phone (518) 489-8476

17 Clifton Country Rd
Clifton Park, NY 12065
Phone (518) 373-0003

17 Clifton Country Rd
Ste 4
Clifton Park, NY 12065
Phone (518) 373-0003

266 Delaware Ave
Ste 2
Delmar, NY 12054
Phone (518) 439-3551

266 Delaware Ave
Delmar, NY 12054
Phone (518) 439-3551

595 New Loudon Rd
Ste 8
Latham, NY 12110
Phone (518) 783-0002

1426 Altamont Ave
Schenectady, NY 12303
Phone (518) 355-0795

1600 Stewart Ave
Ste 108
Westbury, NY 11590
Phone (516) 294-8232

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502755200000",
    "number": "1750495453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032979",
            "telephone_number": "518-355-0795",
            "fax_number": "518-355-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 ALTAMONT AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123032979",
            "telephone_number": "518-355-0795",
            "fax_number": "518-355-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISSEY",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10002748",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "603261",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.