NPIMap

Organization Active NPI

Brian Maillard, OD

  • Eyewear Supplier
  • Cobleskill, NY
National Provider Identifier
1912281007
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TUV006803 Issued in NY
Legal business name
BRIAN MAILLARD, OD
Practice address
108 Legion Dr
Cobleskill, NY 12043-5112
Phone
(518) 234-2931
Fax
(518) 234-0140
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Dr. Brian Maillard, ODNPI 1598752636
Title
Owner
Phone
(518) 234-2931

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
Eyewear Supplier 332H00000X TUV006803 NY Primary

Addresses

Primary practice location

108 Legion Dr
Cobleskill, NY 12043-5112

Mailing address

108 Legion Dr
Cobleskill, NY 12043-5112
Phone (518) 234-2931

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1912281007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 LEGION DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435112",
            "telephone_number": "518-234-2931",
            "fax_number": "518-234-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 LEGION DR",
            "city": "COBLESKILL",
            "state": "NY",
            "postal_code": "120435112",
            "telephone_number": "518-234-2931",
            "fax_number": "518-234-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN MAILLARD, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "MAILLARD",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-234-2931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV006803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cobleskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.