Organization Active NPI

Maltavista Optometry, PLLC

Doing business as Maltavista Optometry & Orthokeratology

  • Optometrist
  • Malta, NY
National Provider Identifier
1902312556
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008010 Issued in NY
Legal business name
MALTAVISTA OPTOMETRY, PLLC
Doing business as
Maltavista Optometry & Orthokeratology
Practice address
2715 RT 9
Suite 204
Malta, NY 12020
Phone
(973) 800-0099
NPI assigned
Dec 19, 2017
Last updated
Dec 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Dr. Alison Halpin, ODNPI 1558700237
Title
Optometrist
Phone
(973) 800-0991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008010 NY Primary

Addresses

Primary practice location

2715 RT 9
Suite 204
Malta, NY 12020

Mailing address

8 Wilshire Blvd
Saratoga Springs, NY 12866-9062

Other names 1

  • Maltavista Optometry & Orthokeratology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180129000800 NY Part B Supplier - Clinic/Group Practice 2668732306 Receives reassigned benefits from 1 practitioner
Practice locations: Ballston Spa, NY

National Provider Directory

National Provider Directory

Locations

2715 State Route 9
Ste 204
Malta, NY 12020
Phone (518) 450-1444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1902312556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WILSHIRE BLVD",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128669062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 RT 9",
            "address_2": "SUITE 204",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "973-800-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALTAVISTA OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "HALPIN",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "973-800-0991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maltavista Optometry & Orthokeratology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.