MEDICARE: CAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician
2	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1851865513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT, PLLC

Provider Business Mailing Address
First Line	:	920 ALBANY SHAKER RD STE 101
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-1468
Country	:	US
Telephone Number	:	518-533-6502
Fax Number	:	518-533-6505

Provider Business Practice Location Address
First Line	:	920 ALBANY SHAKER RD STE 101
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-1468
Country	:	US
Telephone Number	:	518-533-6502
Fax Number	:	518-533-6505

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GERARD BARRY
Credential	:	MD
Telephone Number	:	518-533-6502

Provider Enumeration Date	:	01/16/2019
Last Update Date	:	09/01/2024

Similar Medicare Providers

1962023796 — DR. NICOLE ANN STOREY OD
Practice Location Address:

920 ALBANY SHAKER RD STE 101
LATHAM, NY
12110-1468

Practice Phone: 518-533-6502
Practice Fax:

1720043383 — JITKA LUDMILA ZOBAL-RATNER M.D.
Practice Location Address:

920 ALBANY SHAKER RD , SUITE 101
LATHAM, NY
12110

Practice Phone: 518-533-6502
Practice Fax: 518-533-6505

1124289632 — DR. GERARD PATRICK BARRY M.D.
Practice Location Address:

920 ALBANY SHAKER RD , SUITE 101
LATHAM, NY
12110

Practice Phone: 518-533-6502
Practice Fax: 518-533-6505

1376817999 — MR. PETER JOSEPH NESS M.D.
Practice Location Address:

920 ALBANY SHAKER RD , SUITE 101
LATHAM, NY
12110

Practice Phone: 518-480-6216
Practice Fax: 518-533-6505

1831120492 — DR. IRENE H LUDWIG MD
Practice Location Address:

28 WHITE BRIDGE PIKE STE 208
NASHVILLE, TN
37205-1467

Practice Phone: 615-327-2001
Practice Fax: 615-234-2015

1255335121 — DR. JOHN D HINRICHSEN MD
Practice Location Address:

1400 E BERT KOUNS LOOP , SUITE #103
SHREVEPORT, LA
71105-5634

Practice Phone: 318-222-8402
Practice Fax: 318-222-4556

Directions to “CAPITAL REGION PEDIATRIC MEDICAL EYE CONSULTANT, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.