NORTHEAST VITREO RETINAL ASSOC PC – NPI #1093802597
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Health Care Provider Taxonomy Code for Ophthalmology

NORTHEAST VITREO RETINAL ASSOC PC is an ophthalmologist located in ALBANY, NY. NPPES has assigned the NPI number 1093802597 to NORTHEAST VITREO RETINAL ASSOC PC on October 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEAST VITREO RETINAL ASSOC PC below.

NPI Profile for
NORTHEAST VITREO RETINAL ASSOC PC

NPI Number
1093802597
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHEAST VITREO RETINAL ASSOC PC
Primary location
349 NORTHERN BLVD
ALBANY, NY 12204
Phone: (518) 465-1069 Fax: (518) 426-8016
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HOWARD TANENBAUM
OWNER
Phone: (518) 465-1069
Updated
Identifiers

Identifiers for NORTHEAST VITREO RETINAL ASSOC PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01793420
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.