Active NPI
Linda Carol Brandon, O.D.
- Optometrist
- Kingston, NY
National Provider Identifier
1881732246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TOO5209-1
- Practice address
- 601 Frank Sottile Blvd
Kingston, NY 12401-1550 - Phone
- (845) 336-2058
- NPI assigned
- Feb 1, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TOO5209-1 | NY | Primary |
Addresses
Primary practice location
601 Frank Sottile Blvd
Kingston, NY 12401-1550
Mailing address
7 Ann Dr
Rhinebeck, NY 12572-2245
Phone (845) 876-6699
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 |
|---|---|---|---|
| TOO5209-1 | NY | MD | Optometrist |
| 005209 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon&Lortie, O.D., P.C. | 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
- Kingston, NY
- NPI 1831237221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1881732246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ANN DR",
"city": "RHINEBECK",
"state": "NY",
"postal_code": "125722245",
"telephone_number": "845-876-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 FRANK SOTTILE BLVD",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124011550",
"telephone_number": "845-336-2058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "LINDA",
"middle_name": "CAROL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TOO5209-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.