NPIMap

Organization Active NPI

Stephen J Fine,OD

  • Optometrist
  • Kingston, NY
National Provider Identifier
1902952377
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003442-1 Issued in NY
Legal business name
STEPHEN J FINE,OD
Practice address
578 Broadway
Kingston, NY 12401-3942
Phone
(845) 331-1212
Fax
(845) 338-3483
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Dr. Stephen J Fine, ODNPI 1003812223
Title
Owner
Phone
(845) 331-1212

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV003442-1 NY Primary

Addresses

Primary practice location

578 Broadway
Kingston, NY 12401-3942

Mailing address

578 Broadway
Kingston, NY 12401-3942
Phone (845) 331-1212

National Provider Directory

National Provider Directory
Tax ID family
Fine Park LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1902952377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013942",
            "telephone_number": "845-331-1212",
            "fax_number": "845-338-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 BROADWAY",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013942",
            "telephone_number": "845-331-1212",
            "fax_number": "845-338-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J FINE,OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-331-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003442-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.