Active NPI
Amelia G Bartolone, OD
- Pediatric Optometrist
- Poughkeepsie, NY
National Provider Identifier
1922057975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- T005732
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244528 | Medicaid | NY |
Other names 1
- Amelia M Golebiewski
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111111000280 | NY | Practitioner - Optometry | 2567636434 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005732 | NY | MD | Clinical Psychologist |
| T005732 | NY | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Hudson Vision Therapy, LLC | Current | Accepting new patients | |
| Evil Eye Optometry P.C. | Current | 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.
-
- Vision Therapy Optometrist
- Poughkeepsie, NY
- NPI 1720870470
-
- Optometrist
- New Paltz, NY
- NPI 1891411344
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.