BRIAN MAILLARD, OD (NPI# 1912281007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912281007 |
| Entity Type | Organization |
| Organization Name | BRIAN MAILLARD, OD |
| Practice Address |
108 Legion Dr Cobleskill NY 12043-5112 |
| Practice Telephone | 5182342931 |
| Practice Fax Number | 5182340140 |
| Mailing Telephone | 5182342931 |
| Mailing Fax Number | 5182340140 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |
| Authorized Official Name | DR. BRIAN MAILLARD (OWNER) |
| Authorized Official Telephone | 5182342931 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | TUV006803 | NY | Suppliers |
| Street Address |
108 LEGION DR |
| City | COBLESKILL |
| State | NY |
| Zip Code | 12043-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760472393 | Richard John Glenn | Optometrist | 108 Legion Dr, Cobleskill, NY 12043-5112 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265816656 | Schoharie County Community Action Program, Inc | Case Management | 795 East Main Street, Suite 5, Cobleskill, NY 12043 | 2015-07-15 |
| 1215212196 | Kathryn Scott | Physical Therapist | 143 Golding Dr, Ryder Elementary, Cobleskill, NY 12043 | 2011-10-11 |
| 1255633897 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 726 East Main Street, Cobleskill, NY 12043 | 2010-12-02 |
| 1134452675 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 132 Macarthur Dr., Cobleskill, NY 12043 | 2009-09-16 |
| 1164755161 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 45 Five Mile Woods Rd, Catskill, NY 12043 | 2009-09-09 |
| 1407004542 | David M Goodrich I | Pharmacist | 105 Plazza Lane, Price Chopper Pharmacy, Cobleskill, NY 12043 | 2008-09-03 |
| 1891985768 | Thomas W Greenlees | Preventive Medicine | 170 Mineral Springs Road, Box 910, Cobleskill, NY 12043 | 2007-07-27 |
| 1518022375 | Cobleskill-richmondville Central School | Local Education Agency (LEA) | 155 Washington Ave., Cobleskill, NY 12043 | 2006-12-22 |
| 1831259514 | Mary Diane Radliff | Nurse Practitioner | 130 Albany Ave, Cobleskill, NY 12043 | 2006-12-11 |
| 1689748378 | Jay Vickers Dewell Sr. | Family Medicine | 133 Legion Drive, Cobleskill, NY 12043 | 2006-11-17 |
| Find all providers in zip 12043 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437334968 | David J. Aidone | Eyewear Supplier (Equipment, not the service) | 980 E Main St, Siute 4, Cobleskill, NY 12043-5742 | 2008-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202495 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 339 Gateway Dr, Brooklyn, NY 11239-2805 | 2020-10-16 |
| 1386242360 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 184 W 237th St, Bronx, NY 10463-4102 | 2020-10-13 |
| 1740888718 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 40 Graham Rd W, Ithaca, NY 14850-1055 | 2020-10-13 |
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1831797828 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 790 S Sunrise Hwy, Bellport, NY 11713-1557 | 2020-10-13 |
| 1407454481 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Cir, Deer Park, NY 11729-7075 | 2020-10-13 |
| 1265030126 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 820-825 Pelham Pkwy, Pelham Manor, NY 10803 | 2020-10-13 |
| 1265030357 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 607 Old Country Rd, Riverhead, NY 11901-2103 | 2020-10-12 |
| 1356949598 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1752 Shore Pkwy, Brooklyn, NY 11214-6561 | 2020-10-10 |
| 1033717277 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Bellwood Dr, Rochester, NY 14606-4262 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
| City | COBLESKILL |
| Zip Code | 12043 |
Please comment or provide details below to improve the information on BRIAN MAILLARD, OD.
| 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.