Coxsackie Optometric PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0048681 Issued in NY

Legal business name

COXSACKIE OPTOMETRIC PC

Practice address

10 A Ely St
Coxsackie, NY 12051-1216

Phone

(518) 731-9405

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Debra E Hammerer, OD

Title

Owner Partner

Phone

(518) 731-9405

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Coxsackie Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• John Robert Hammerer, O.D.

  • Optometrist
  • Coxsackie, NY
  • NPI 1942498654
  Medicare reassignment NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1972665701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MANSION ST",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "120511216",
            "telephone_number": "518-731-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 A ELY ST",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "120511216",
            "telephone_number": "518-731-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COXSACKIE OPTOMETRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "HAMMERER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "518-731-9405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0048681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "59125",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10000840M202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "C198A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coxsackie Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Lincon Barbour, LMSW
• Abigail Breen, R.N.
• Sara Collesides, NP
• Columbia Memorial Regional Medical PLLC
• Coxsackie Family Practice
• Coxsackie Rescue Squad
• Coxsackie Transport, Inc.
• Coxsackie-Athens CSD
• Lynette Antonia Dalland, SLP
• Vernea T Diehl

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.