Active NPI
Schenectady Eye Surgery Associates, PLLC
- Ophthalmology Physician
- Schenectady, NY
National Provider Identifier
1770922130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SCHENECTADY EYE SURGERY ASSOCIATES, PLLC
- Practice address
- 1201 Nott St
Ste. 105
Schenectady, NY 12308-2589 - Phone
- (518) 374-0483
- Fax
- (518) 374-0515
- NPI assigned
- Jun 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Darlene Fuller, B.A.
- Title
- Office Manager
- Phone
- (518) 374-0483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1201 Nott St
Ste. 105
Schenectady, NY 12308-2589
Mailing address
1201 Nott St Ste 105
Schenectady, NY 12308-2589
Phone (518) 374-0483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1705 | Other | NY | CDPHP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Franklin B Longo MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Schenectady, NY
- NPI 1639353782
Locations
1201 Nott St
Ste 105
Schenectady, NY 12308
Phone (518) 374-0483
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Schenectady, NY
- NPI 1407965361
-
- Ophthalmology Physician
- Schenectady, NY
- NPI 1982855631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403654400000",
"number": "1770922130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NOTT ST STE 105",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-374-0483",
"fax_number": "518-374-0515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "STE. 105",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-374-0483",
"fax_number": "518-374-0515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHENECTADY EYE SURGERY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-19",
"last_updated": "2014-06-25",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "DARLENE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "518-374-0483",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "B.A."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "1705",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
- Schenectady County Public Health Services Clinic
- Schenectady County Public Health Services Licensed Home Care Agency
- Schenectady Dermatology, PC
- Schenectady ENT PLLC
- Schenectady Eye Surgery Associates, PLLC
- Schenectady Family Health Services
- Schenectady Family Health Services, Inc.
- Schenectady Family Health Services, Inc.
- Schenectady Family Health Services, Inc.
- Schenectady Family Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.