Organization Active NPI

Robco Optometry Enterprises, LLC

Doing business as Latham Family Vision

  • Optometrist
  • Latham, NY
National Provider Identifier
1922247469
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004680-1 Issued in NY
Legal business name
ROBCO OPTOMETRY ENTERPRISES, LLC
Doing business as
Latham Family Vision
Practice address
400 Troy Schenectady Rd
Latham, NY 12110-3211
Phone
(518) 785-7891
Fax
(518) 785-3927
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Rocco F Loccisano, O.D.NPI 1316963119
Title
Owner
Phone
(518) 785-7891

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 TUV004680-1 NY Primary

Addresses

Primary practice location

400 Troy Schenectady Rd
Latham, NY 12110-3211

Mailing address

400 Troy Schenectady Rd
Latham, NY 12110-3211
Phone (518) 785-7891

Other names 1

  • Latham Family Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090624000365 NY Part B Supplier - Clinic/Group Practice 7012068570 Receives reassigned benefits from 4 practitioners
Practice locations: Latham, NY

National Provider Directory

National Provider Directory

Locations

400 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 489-0821

Practitioners & affiliated clinicians

Practitioners 4

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": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1922247469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103211",
            "telephone_number": "518-785-7891",
            "fax_number": "518-785-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TROY SCHENECTADY RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121103211",
            "telephone_number": "518-785-7891",
            "fax_number": "518-785-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBCO OPTOMETRY ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "LOCCISANO",
        "authorized_official_first_name": "ROCCO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-785-7891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004680-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Latham Family Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.