Active NPI
Stephen Krieg, O.D.
- Optometrist
- Plattsburgh, NY
National Provider Identifier
1891758207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4915
- Practice address
- 25 Consumer SQ
Plattsburgh, NY 12901-6508 - Phone
- (518) 566-8096
- Fax
- (518) 566-0085
- NPI assigned
- Apr 7, 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 | 4915 | NY | Primary |
Addresses
Primary practice location
25 Consumer SQ
Plattsburgh, NY 12901-6508
Mailing address
25 Consumer SQ
Plattsburgh, NY 12901-6508
Phone (518) 566-8096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01120378 | Medicaid | NY |
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 |
|---|---|---|---|
| 004915 | NY | MD | Mental Health Counselor |
| 4915 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Past | Accepting new patients | |
| Empire Vision Center Inc | 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 and National Provider Directory roles.
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1891758207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CONSUMER SQ",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016508",
"telephone_number": "518-566-8096",
"fax_number": "518-566-0085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CONSUMER SQ",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016508",
"telephone_number": "518-566-8096",
"fax_number": "518-566-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEG",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-07",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "4915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01120378",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.