NPIMap

Organization Active NPI

Capital Region Pediatric Medical Eye Consultant, PLLC

  • Ophthalmology Physician
  • Latham, NY
National Provider Identifier
1851865513
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT, PLLC
Practice address
920 Albany Shaker Rd Ste 101
Latham, NY 12110-1468
Phone
(518) 533-6502
Fax
(518) 533-6505
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Authorized official

Name
Dr. Gerard Barry, MDNPI 1124289632
Title
Owner
Phone
(518) 533-6502

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Pediatric Ophthalmology and Strabismus Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0110X

Addresses

Primary practice location

920 Albany Shaker Rd Ste 101
Latham, NY 12110-1468

Mailing address

920 Albany Shaker Rd Ste 101
Latham, NY 12110-1468
Phone (518) 533-6502

Other names 1

  • Children's Eyes Albany Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429000429 NY Part B Supplier - Clinic/Group Practice 5890037634 Receives reassigned benefits from 3 practitioners
Practice locations: Latham, NY

National Provider Directory

National Provider Directory

Locations

920 Albany Shaker Rd
Ste 101
Latham, NY 12110
Phone (518) 480-6216

Interoperability endpoints

  • Direct secure messaging: pness@chea.intellechartdirect.net
  • Direct secure messaging: gbarry@chea.intellechartdirect.net
  • Direct secure messaging: nstorey@chea.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725148800000",
    "number": "1851865513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ALBANY SHAKER RD STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101468",
            "telephone_number": "518-533-6502",
            "fax_number": "518-533-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ALBANY SHAKER RD STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101468",
            "telephone_number": "518-533-6502",
            "fax_number": "518-533-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-533-6502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Eyes Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; 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.