Judith Archibold, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T005212-1 Issued in NY

Practice address

2222 6TH Ave
Troy, NY 12180-2203

Phone

(518) 274-3123

Fax

(518) 274-0624

NPI assigned

Oct 1, 2011

Last updated

Feb 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Albany Troy Cataract and Laser AssociatesGroup PAC ID 0941354260, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.57 of 100Reported as group

Quality

86.36

Promoting interoperability

100

Improvement activities

40

Cost

78.86

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jarchibold@occr.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albany Troy Cataract & Laser Associates

  dba Ophthalmic Consultants of the Capital Region

  • Ophthalmology Physician
  • Troy, NY
  • NPI 1336389295
  Medicare reassignment Care Compare group
• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  NPD (past)

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

{
    "created_epoch": "1317427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1871877472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 POND VW",
            "address_2": "SUITE 101",
            "city": "S SCHODACK",
            "state": "NY",
            "postal_code": "120339750",
            "telephone_number": "518-477-2391",
            "fax_number": "518-477-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 6TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802203",
            "telephone_number": "518-274-3123",
            "fax_number": "518-274-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHIBOLD",
        "first_name": "JUDITH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-01",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005212-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arianna Antisin
• Nedra Mae Apple, LMT
• Ar Mental Health Counseling
• James Peter Aram, MD
• Arbind Kumar Medical Services, PC (Capital Region Gastroenterology)
• Shitaye Argaw, MD
• Alison E Arias
• Annabelle Armah
• Barbara Armstrong, PT
• Amanda Marie Arnold, OT

• Optometrist in Troy, NY
• Providers in Troy, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.