NPIMap

Individual provider Active NPI

Arthur D Isenberg, OD

  • Optometrist
  • Albany, NY
National Provider Identifier
1891997763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002439 Issued in NC
Practice address
971 Central Ave
Albany, NY 12205-3503
Phone
(518) 458-2112
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002439 NC Primary

Addresses

Primary practice location

971 Central Ave
Albany, NY 12205-3503

Mailing address

133 Saratoga Rd Apt X8
Glenville, NY 12302-5914
Phone (518) 393-8372

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002439NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanette L. Bergstrom Dba Burnt Hills Optical Optometrist Past Accepting new patients
Burnt Hills Optical, Inc Past Accepting new patients
Pearle Vision Optometrist Past Accepting new patients
Tone Optical Inc Dba Taras Optical Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891997763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SARATOGA RD APT X8",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123025914",
            "telephone_number": "518-393-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053503",
            "telephone_number": "518-458-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENBERG",
        "first_name": "ARTHUR",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "002439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.