Binghamton Ophthalmology Associates, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2474661 Issued in NY

Legal business name

BINGHAMTON OPHTHALMOLOGY ASSOCIATES, P.C.

Doing business as

Binghamton Eye Associates

Practice address

33 Mitchell Avenue
Suite 207
Binghamton, NY 13903

Phone

(607) 723-7586

Fax

(607) 723-1989

NPI assigned

Oct 16, 2006

Last updated

Nov 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori A McKinney

Title

Office Manager

Phone

(607) 723-7586

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Binghamton Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Medical Surgical Eye Ca2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Binghamton Ophthalmology Associates, P.C.

  dba South Side Optical

  • Eyewear Supplier
  • Binghamton, NY
  • NPI 1245352996
  NPD tax ID

Practitioners 3

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.

• Michael Herceg, DO

  • Ophthalmology Physician
  • Binghamton, NY
  • NPI 1649492554
  Medicare reassignment Care Compare group NPD
• Emily Rose Lidell, OD

  • Optometrist
  • Binghamton, NY
  • NPI 1285231514
  Medicare reassignment Care Compare group NPD
• Paul Lesko, LICENSED OPTICIAN

  • Optician
  • Binghamton, NY
  • NPI 1275689036
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1861582041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MITCHELL AVENUE",
            "address_2": "SUITE 207",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-723-7586",
            "fax_number": "607-723-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MITCHELL AVENUE",
            "address_2": "SUITE 207",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13903",
            "telephone_number": "607-723-7586",
            "fax_number": "607-723-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINGHAMTON OPHTHALMOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "607-723-7586"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "4799",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0067631",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0067171",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "2474661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02061489",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Binghamton Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Binghamton Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Binghamton Chiropractic PLLC (Binghamton Chiropractic)
• Binghamton City School District
• Binghamton Dental ,LLC
• Binghamton Gastroenterology Associates, PC
• Binghamton Ophthalmology Associates, P.C. (South Side Optical)
• Binghamton Optical Inc
• Binghamton Optical Inc
• Binghamton Physical Therapy, P.C.
• Binghamton Plastic Surgery, PLLC
• Binghamton Podiatry PC

• Ophthalmology Physician in Binghamton, NY
• Providers in Binghamton, 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 Nov 3, 2022; 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.