UPSTATE VISION CARE, PLLC (NPI# 1629549399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629549399 |
| Entity Type | Organization |
| Organization Name | UPSTATE VISION CARE, PLLC |
| Practice Address |
206 Glen St. Suite 31b Colvin Building Glens Falls NY 12801 |
| Practice Telephone | 5187447136 |
| Mailing Telephone | 5187447136 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | MRS. AMY L ST.JOHN (OWNER/NYS LICENSED OPTICIAN) |
| Authorized Official Telephone | 5187447136 |
| Authorized Official Credential | OPTHALMIC DISPEN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | INDIVIDUAL | 1275000853 | 01 |
| Street Address |
206 GLEN ST. SUITE 31B COLVIN BUILDING |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| 1932248762 | Gastroenterology Associates of Northern New York, PC | Clinic/Center | Five Irongate Center, Glens Falls, NY 12801 | 2007-02-06 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 156FC0800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens |
| An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557976 | Eyemaven Optical LLC | Technician/Technologist | 3702 Main St # F1, Flushing, NY 11354-4107 | 2020-10-26 |
| 1598227456 | Michael Kather | Technician/Technologist | 325 West St Ste 100, Canandaigua, NY 14424-1787 | 2019-04-01 |
| 1629582309 | Hogenkamp Optics LLC | Technician/Technologist | 6404 W Quaker St, Orchard Park, NY 14127-2353 | 2017-11-17 |
| 1699002345 | Anthony Frank Gaggi | Technician/Technologist | 42 Saint Marks Pl, New York, NY 10003-8116 | 2009-11-17 |
| 1245461144 | Flatbush Express Optical, Inc | Technician/Technologist | 860 Flatbush Ave, Brooklyn, NY 11226-3102 | 2009-07-27 |
| 1588812937 | Kelly's Fashion Optical | Technician/Technologist | 529 E 138th St, Bronx, NY 10454-4925 | 2008-08-27 |
| 1184881716 | Franklin Senia | Technician/Technologist | 3561 Sheridan Dr, Amherst, NY 14226-1629 | 2008-05-21 |
| 1811400526 | Sarah Miller | Technician/Technologist | 325 West St, Canandaigua, NY 14424-1787 | 2017-11-16 |
| 1427561117 | Michael Firlit | Technician/Technologist | 325 West St, Canandaigua, NY 14424-1787 | 2017-11-16 |
| 1457864134 | Michelle Bullock | Technician/Technologist | 325 West St, Canandaigua, NY 14424-1787 | 2017-11-16 |
| Find all providers with the same taxonomy | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.