Dr. Nicole Ann Storey, OD
Optometrist, Pediatrics in Latham, NY. Individual provider (NPI-1).
NPI number1962023796
StatusActive
Last updated in NPPESNov 8, 2020
Details
- NPI
- 1962023796
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicole Ann Storey
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 4, 2020
- Certification date
- Nov 8, 2020
- Last updated
- Nov 8, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WP0200X | Optometrist, Pediatrics | 009212 | NY | Yes |
| 152W00000X | Optometrist | 009212 | NY |
Practice location
920 Albany Shaker Rd Ste 101Latham, NY 12110-1468
Phone 518-533-6502
Mailing address
920 Albany Shaker Rd Ste 101Latham, NY 12110-1468
Phone 518-533-6502 · Fax 518-533-6505
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