Organization
NORTHEAST OPHTHALMOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KEPNER (ASST MANAGER)
(518) 650-5169
Entity
Organization
Contact information
Practice address
767 TROY SCHENECTADY RD STE 1, LATHAM, NY 12110-2446
(518) 690-7020
(518) 690-7022
Mailing address
767 TROY SCHENECTADY RD STE 1, LATHAM, NY 12110-2446
(518) 690-7020
(518) 690-7022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
—
207WX0109X
Neuro-ophthalmology Physician
Primary
—
—
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us