Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Ophthalmology PLLC

Organization Optometrist · NPI 1689530784

Northeast Ophthalmology PLLC is an Optometrist in Latham, New York. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

767 Troy Schenectady Rd Ste 1
Latham, NY 12110-2446
Phone: (518) 690-7020
Fax: (518) 690-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuro-ophthalmology Physician (primary) Taxonomy 207WX0109X
Optometrist Taxonomy 152W00000X
Ophthalmology Physician Taxonomy 207W00000X

Record details

NPI number1689530784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Kepner — Asst Manager · (518) 650-5169
NPI enumeratedJanuary 2, 2026
Last updated in NPPESJanuary 2, 2026
Certification dateJanuary 2, 2026
Mailing address767 Troy Schenectady Rd Ste 1, Latham, NY 12110-2446

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