Active NPI
Andrew Tresser, OD
- Optometrist
- Pleasant Valley, NY
National Provider Identifier
1861454340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3141
- Practice address
- 1539 Main St
Pleasant Valley, NY 12569-7834 - Phone
- (845) 635-3700
- Fax
- (845) 635-8317
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3141 | NY | Primary |
Addresses
Primary practice location
1539 Main St
Pleasant Valley, NY 12569-7834
Mailing address
PO Box 666
Pleasant Valley, NY 12569-0666
Phone (845) 635-3700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9146353700 | Other | NY | VSP |
| 355 | Other | NY | DAVIS |
| P3028020 | Other | NY | OXFORD |
| 597113 | Other | NY | MVP |
| LD | Other | NY | GVS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3141 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sydney-Rose, Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Pleasant Valley, NY
- NPI 1225433808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1861454340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 666",
"city": "PLEASANT VALLEY",
"state": "NY",
"postal_code": "125690666",
"telephone_number": "845-635-3700",
"fax_number": "845-635-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 MAIN ST",
"city": "PLEASANT VALLEY",
"state": "NY",
"postal_code": "125697834",
"telephone_number": "845-635-3700",
"fax_number": "845-635-8317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRESSER",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "3141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "9146353700",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS",
"identifier": "355",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3028020",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "597113",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GVS",
"identifier": "LD",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.