Individual provider Active NPI

Amelia G Bartolone, OD

  • Pediatric Optometrist
  • Poughkeepsie, NY
National Provider Identifier
1922057975
Registry record updated Dec 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
T005732 Issued in NY
Practice address
80 Washington St Ste L03
Poughkeepsie, NY 12601-2304
Phone
(845) 443-6800
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X T005732 NY Primary

Addresses

Primary practice location

80 Washington St Ste L03
Poughkeepsie, NY 12601-2304

Mailing address

36 Sun Creek LN
Stone Ridge, NY 12484-5630
Phone (848) 797-7161

Other identifiers 1

IdentifierTypeStateIssuer
00244528MedicaidNY

Other names 1

  • Amelia M Golebiewski Former name

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
I20111111000280 NY Practitioner - Optometry 2567636434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005732NYMDClinical Psychologist
T005732NYMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Hudson Vision Therapy, LLC CurrentSince May 25, 2025 Accepting new patients
Evil Eye Optometry P.C. CurrentSince Oct 23, 2022 Accepting new patients
State of New York Comptrollers Office Pediatrics Past Accepting new patients

Locations

243 Main St
Ste 120
New Paltz, NY 12561
Phone (845) 255-4696

80 Washington St
Ste L3
Poughkeepsie, NY 12601
Phone (845) 443-6800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702684800000",
    "number": "1922057975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SUN CREEK LN",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845630",
            "telephone_number": "848-797-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WASHINGTON ST STE L03",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126012304",
            "telephone_number": "845-443-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLONE",
        "first_name": "AMELIA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2023-12-16",
        "certification_date": "2023-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "T005732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "GOLEBIEWSKI",
            "middle_name": "M",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.