Individual provider Active NPI

Joseph Accettura, O.D

  • Optometrist
  • Newburgh, NY
National Provider Identifier
1902885387
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004377 Issued in 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
Last updated
Mar 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT004377 NY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715000324 NY Practitioner - Optometry 2365421294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT004377NYMDOptometrist
004377NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Glass Works, Inc Optometrist CurrentSince Jan 1, 1985 Accepting new patients

Locations

1433 Route 300
Ste 108
Newburgh, NY 12550
Phone (845) 561-0305

Organizations & group practices 1

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1902885387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 ROUTE 300 STE 108",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502910",
            "telephone_number": "845-561-0305",
            "fax_number": "845-561-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 ROUTE 300 STE 108",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502910",
            "telephone_number": "845-561-0305",
            "fax_number": "845-561-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCETTURA",
        "first_name": "JOSEPH",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.