Active NPI
Linda Jo Butler, OD
- Optometrist
- Glens Falls, NY
National Provider Identifier
1881676062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0073681
- Practice address
- 575 Glen St.
Glens Falls, NY 12801 - Phone
- (518) 792-0518
- Fax
- (518) 792-4739
- NPI assigned
- Nov 15, 2005
- Last updated
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00530200 | NJ | |
| Optometrist | 152W00000X | 27TO00064500 | NJ | |
| Optometrist | 152W00000X | TUV0073681 | NJ | Primary |
Addresses
Primary practice location
575 Glen St.
Glens Falls, NY 12801
Mailing address
575 Glen St.
P.O. Box 2071
Glens Falls, NY 12801
Phone (518) 792-0518
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 |
|---|---|---|---|
| 007368 | NY | MD | Mental Health Counselor |
| 27OA00530200 | NJ | MD | Optometrist |
| 27TO00064500 | NJ | MD | Optometrist |
| TUV0073681 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Physcians of Red Bank | Optometrist | Past | Accepting new patients |
| Optometric Physicians of Red Bank LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Eyesfirst Vision Center
- Optometrist
- Red Bank, NJ
- NPI 1154324721
-
dba EyesFirst Vision Center
- Optometrist
- Red Bank, NJ
- NPI 1457464190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1881676062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 GLEN ST.",
"address_2": "P.O. BOX 2071",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-792-0518",
"fax_number": "518-792-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 GLEN ST.",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-792-0518",
"fax_number": "518-792-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "LINDA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00530200",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27TO00064500",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "TUV0073681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.