Angela E Gardner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

005918 Issued in NY

Practice address

1224 State Route 29
Greenwich, NY 12834-6120

Phone

(518) 692-2040

Fax

(518) 692-2440

NPI assigned

May 16, 2006

Last updated

Sep 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Old Saratoga Optometry & Ophthalmic Dispensing, PLLC

  dba Old Saratoga Eyecare

  • Optometrist
  • Greenwich, NY
  • NPI 1275720781
  Medicare reassignment NPD Authorized official
• Old Saratoga Optometry & Ophthalmic Dispensing, PLLC

  dba Old Saratoga Eyecare

  • Eyewear Supplier
  • Greenwich, NY
  • NPI 1437520699
  NPD
• Bay Optical, Inc

  • Optician
  • Glens Falls, NY
  • NPI 1073681169
  NPD (past)
• Burnt Hills Optical, Inc

  • Optician
  • Burnt Hills, NY
  • NPI 1871735191
  NPD (past)
• Family Vision Care Ophthalmic Dispensing LLC

  dba Family Vision Care Center

  • Optometrist
  • Saratoga Springs, NY
  • NPI 1053335695
  NPD (past)
• Jeanette L. Bergstrom Dba Burnt Hills Optical

  dba Burnt Hills Optical

  • Optician
  • Burnt Hills, NY
  • NPI 1184899783

  Optometrist

  NPD (past)
• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1922050483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 STATE ROUTE 29",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128346120",
            "telephone_number": "518-692-2040",
            "fax_number": "518-692-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 STATE ROUTE 29",
            "city": "GREENWICH",
            "state": "NY",
            "postal_code": "128346120",
            "telephone_number": "518-692-2040",
            "fax_number": "518-692-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ANGELA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10032211",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "784431",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000493529005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC",
            "identifier": "C2T601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cynthia I Gabriel, PT, MS
• Ashli Marie Gifford, MS, CCC-SLP
• Glens Falls Hospital Inc
• Glens Falls Hospital Inc
• Domenic Godici, DMD
• Greenwhich Family Dentistry

• Optometrist in Greenwich, NY
• Providers in Greenwich, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.

Verify at the official NPI Registry.