Provider Demographics
NPI:1326007352
Name:PRICE, JODEE A (OD)
Entity Type:Individual
Prefix:DR
First Name:JODEE
Middle Name:A
Last Name:PRICE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JODEE
Other - Middle Name:A
Other - Last Name:PERRETTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:209 BURKE RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6469
Mailing Address - Country:US
Mailing Address - Phone:518-587-9204
Mailing Address - Fax:
Practice Address - Street 1:118 QUAKER RD STE 6
Practice Address - Street 2:
Practice Address - City:QUEENSBURY
Practice Address - State:NY
Practice Address - Zip Code:12804-1755
Practice Address - Country:US
Practice Address - Phone:518-338-3080
Practice Address - Fax:518-338-3081
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-20
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV 006753152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYEM68/10085212OtherCDPHP HEALTH INSURANCE
NY3004766OtherMVP HEALTHCARE
U98329Medicare UPIN
NY3004766OtherMVP HEALTHCARE