Organization Active NPI

Capital Region Eye Specialist and Surgeon PLLC

Doing business as Cornea Consultants of Albany

  • Ophthalmology Physician
  • Slingerlands, NY
National Provider Identifier
1841414844
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CAPITAL REGION EYE SPECIALIST AND SURGEON PLLC
Doing business as
Cornea Consultants of Albany
Practice address
1220 New Scotland Rd
Suite 101
Slingerlands, NY 12159-9386
Phone
(518) 475-1515
Fax
(518) 475-0645
NPI assigned
Apr 12, 2007
Last updated
Apr 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Robert L Schultze, MDNPI 1417933540
Title
Owner
Phone
(518) 475-1515

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)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1220 New Scotland Rd
Suite 101
Slingerlands, NY 12159-9386

Mailing address

1220 New Scotland Rd
Suite 101
Slingerlands, NY 12159-9386
Phone (518) 475-1515

Other identifiers 1

IdentifierTypeStateIssuer
01827834MedicaidNY

Other names 1

  • Cornea Consultants of Albany Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323000320 NY Part B Supplier - Clinic/Group Practice 8628103181 Receives reassigned benefits from 6 practitioners
Practice locations: Saratoga Springs, NY; Slingerlands, NY

National Provider Directory

National Provider Directory

Locations

9 Vista Blvd
Ste 100
Slingerlands, NY 12159
Phone (518) 475-1515

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1841414844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD",
            "address_2": "SUITE 101",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-475-1515",
            "fax_number": "518-475-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 NEW SCOTLAND RD",
            "address_2": "SUITE 101",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599386",
            "telephone_number": "518-475-1515",
            "fax_number": "518-475-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION EYE SPECIALIST AND SURGEON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHULTZE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-475-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01827834",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornea Consultants of Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Slingerlands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; 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.