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
- Last updated
- Mar 22, 2016
- 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"endpoints": [],
"other_names": []
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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.