Active NPI
Joseph Accettura, O.D
- Optometrist
- Newburgh, NY
National Provider Identifier
1902885387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT004377
- 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, 2010
- 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 | 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
Enrollment records 1
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
| 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.