Patricia Perry, OPHTHALMIC DISPENSER

Primary specialty

OpticianTaxonomy code 156FX1800X

License

005508-01 Issued in NY

Practice address

1201 Route 300
Newburgh, NY 12550-5005

Phone

(845) 567-0068

Fax

(845) 567-3098

NPI assigned

May 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1770332041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HAESSIG GLEN RD",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125899203",
            "telephone_number": "845-216-6678",
            "fax_number": "845-567-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ROUTE 300",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125505005",
            "telephone_number": "845-567-0068",
            "fax_number": "845-567-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "PATRICIA",
        "credential": "OPHTHALMIC DISPENSER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "NY005508",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005508-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Lynn Pendino, M.S. CCC-SLP, TSSLD
• Mary C Pennington
• Joseph Perales, LCSW
• Kristie Perez
• Jeanne Elizabeth Perrotta, MSW
• Peter J Anello PT PC
• Christopher Petrosino, D.M.D.
• Geraldine Petrosino, D.M.D.
• Jonathan Peyton
• Jessica Pforte

• Optician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.