Joseph Accettura, O.D
Individual provider Active NPI Optometrist · Newburgh, NY
NPI 1902885387 · NPPES record last updated Mar 26, 2010
Key facts
- NPI
- 1902885387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- VUT004377 (NY)
- Practice address
- 1433 Route 300 Ste 108
Newburgh, NY 12550-2910 - Phone
- (845) 561-0305
- Fax
- (845) 561-9041
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 1983
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1433 Route 300
Suite 108
Newburgh, NY 12550-2910
Phone (845) 561-0305
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040715000324 | NY | Practitioner - Optometry | 2365421294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT004377 | NY | MD | Optometrist |
| 004377 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Glass Works, Inc | Optometrist | Current |
Accepting new patients |
Locations
1433 Route 300
Ste 108
Newburgh, NY 12550
Phone (845) 561-0305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT004377 | NY | Yes |
Addresses
Primary practice location
1433 Route 300 Ste 108
Newburgh, NY 12550-2910
Mailing address
1433 Route 300 Ste 108
Newburgh, NY 12550-2910
Phone (845) 561-0305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00875654 | Medicaid | NY |
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.