Active NPI
Cohoes Eye Associates, LLC
- Optometrist
- Cohoes, NY
National Provider Identifier
1780194407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005872
- Legal business name
- COHOES EYE ASSOCIATES, LLC
- Practice address
- 91 Mohawk St
Cohoes, NY 12047-2809 - Phone
- (518) 237-0342
- Fax
- (518) 235-9266
- NPI assigned
- Oct 8, 2017
- Last updated
- Sep 24, 2018
- 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
- Dr. Kelly Primeau, OD
- Title
- Optometrist
- Phone
- (518) 233-0463
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005872 | NY | Primary |
Addresses
Primary practice location
91 Mohawk St
Cohoes, NY 12047-2809
Mailing address
91 Mohawk St
Cohoes, NY 12047
Phone (518) 237-0342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Cohoes, NY
- NPI 1679533913
-
- Optometrist
- Cohoes, NY
- NPI 1730172842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537747200000",
"number": "1780194407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 MOHAWK ST",
"city": "COHOES",
"state": "NY",
"postal_code": "12047",
"telephone_number": "518-237-0342",
"fax_number": "518-235-9266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 MOHAWK ST",
"city": "COHOES",
"state": "NY",
"postal_code": "120472809",
"telephone_number": "518-237-0342",
"fax_number": "518-235-9266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COHOES EYE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-08",
"last_updated": "2018-09-24",
"status": "A",
"authorized_official_last_name": "PRIMEAU",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "518-233-0463",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cohoes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.