NORTHEAST OPHTHALMOLOGY PLLC NPI 1689530784

NPI Information

  • NPI: 1689530784
  • Provider Name: NORTHEAST OPHTHALMOLOGY PLLC
  • Classification: Ophthalmology - 207WX0109X
  • Specialization: Neuro-ophthalmology
  • Entity Type: Organization
  • Address: 767 TROY SCHENECTADY RD STE 1
    LATHAM, NY
    ZIP 12110
  • Phone: (518) 690-7020

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NPI Details

NORTHEAST OPHTHALMOLOGY PLLC is a neuro-ophthalmology ophthalmology in Latham, NY. The provider is 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. NORTHEAST OPHTHALMOLOGY PLLC NPI is 1689530784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

767 TROY SCHENECTADY RD STE 1
LATHAM, NY
ZIP 12110-446
Phone: (518) 690-7020
Fax: (518) 690-7022

The provider's authorized official is Nicole Kepner .
The authorized official title is Asst Manager and has the following contact phone number (518) 650-5169.

The enumeration date for this NPI number is 1/2/2026 and was last updated on 1/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2207W00000XOphthalmologyNo
3207WX0109XOphthalmologyNeuro-ophthalmologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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