Agape' Eye Care Optometrist PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5427 Issued in NY

Legal business name

AGAPE' EYE CARE OPTOMETRIST PLLC

Practice address

3 Hemphill PL
Suite 114
Malta, NY 12020-4419

Phone

(518) 899-0003

Fax

(518) 899-0123

NPI assigned

Sep 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Mary Crowe, ODNPI 1679622492

Title

Owner

Phone

(518) 899-0003

Specialties & licenses 1

Addresses

Other names 1

• Agape' Eye Care Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen M. Crowe, OD

  • Optometrist
  • Malta, NY
  • NPI 1679622492

  NY

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1831440957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HEMPHILL PL",
            "address_2": "SUITE 114",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204419",
            "telephone_number": "518-899-0003",
            "fax_number": "518-899-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HEMPHILL PL",
            "address_2": "SUITE 114",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204419",
            "telephone_number": "518-899-0003",
            "fax_number": "518-899-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE' EYE CARE OPTOMETRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-899-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agape' Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Malta, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.