Eye Physicians of Orange County, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

149367 Issued in NY

Legal business name

EYE PHYSICIANS OF ORANGE COUNTY, PC

Practice address

32 Canal St
Port Jervis, NY 12771-1638

Phone

(845) 672-3960

Fax

(845) 672-3157

NPI assigned

Sep 2, 2014

Last updated

Oct 23, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE PHYSICIANS OF ORANGE COUNTY PCAs reported in NPPES

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

Authorized official

Name

Leslie J Green, MDNPI 1124002597

Title

Vice President

Phone

(845) 294-5128

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Physicians of Orange County PC

  • Ophthalmology Physician
  • Goshen, NY
  • NPI 1457331266

  O20040317001374

  Same enrollment
• Eye Physicians of Orange County PC

  • Ophthalmology Physician
  • Warwick, NY
  • NPI 1730368630

  O20040317001374

  Same enrollment
• Eye Physicians of Orange County PC

  • Ophthalmology Physician
  • Monroe, NY
  • NPI 1831378736

  O20040317001374

  Same enrollment

Part of

Susan L Greenberg

Practitioners 1

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.

• Leslie J Green, MD

  • Ophthalmology Physician
  • Goshen, NY
  • NPI 1124002597
  Authorized official Same address or phone

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1811397433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HATFIELD LANE",
            "address_2": "SUITE 3",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246753",
            "telephone_number": "845-294-5128",
            "fax_number": "845-294-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CANAL ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711638",
            "telephone_number": "845-672-3960",
            "fax_number": "845-672-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF ORANGE COUNTY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIANS OF ORANGE COUNTY PC",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "845-294-5128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "149367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Beverly Jane Fernandez, NP
• Krista Fitzgerald
• Elizabeth Fitzpatrick, NP

• Ophthalmology Physician in Port Jervis, NY
• Providers in Port Jervis, 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 Oct 23, 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.

Verify at the official NPI Registry.