NORTHEAST OPHTHALMOLOGY PLLC – NPI #1689530784
Ophthalmology

A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.

Health Care Provider Taxonomy Code for Ophthalmology

NORTHEAST OPHTHALMOLOGY PLLC is an ophthalmologist located in LATHAM, NY. NPPES has assigned the NPI number 1689530784 to NORTHEAST OPHTHALMOLOGY PLLC on January 02, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0109X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Neuro-ophthalmology

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 OPHTHALMOLOGY PLLC below.

NPI Profile for
NORTHEAST OPHTHALMOLOGY PLLC

NPI Number
1689530784
Enumeration Date

(about 5 months 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 OPHTHALMOLOGY PLLC
Primary location
767 TROY SCHENECTADY RD STE 1
LATHAM, NY 12110-2446
Phone: (518) 690-7020 Fax: (518) 690-7022
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICOLE KEPNER
ASST MANAGER
Phone: (518) 650-5169
Updated
Certification Date
Jan 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207WX0109X
- Ophthalmology / Neuro-ophthalmology (Primary)
207W00000X
- Ophthalmology
152W00000X
- Optometrist

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.