AMBIENT — NPI 1053673178 (Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Low Vision Rehabilitation in KINGSTON, NY)

CMS-1500 Box 24J / 33a • NPI

1053673178

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

152WL0500X (CMS 41)

Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Low Vision Rehabilitation

Box 32 Service Location & ZIP+4

1329 SAWKILL RD, KINGSTON, NY, 12401

Official NPPES Practice Location

Practice Phone & Referral Fax

(917) 292-1271

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053673178 (AMBIENT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1053673178` (NPI-2 Organization / Facility)
Provider / Legal Name	AMBIENT
Plain-English Specialty	Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Low Vision Rehabilitation NUCC Code: `152WL0500X` (Optometrist, Low Vision Rehabilitation)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1329 SAWKILL RD, KINGSTON, NY, 12401
Practice Telephone / Fax	Tel: (917) 292-1271
Administrative Mailing Address	1329 SAWKILL RD, KINGSTON, NY, 12401-7901
Enumeration & Last Sync	Enumerated: 2012-06-14 \| CMS Record Updated: 2012-06-14
Authorized Official	TOMAS TOBLER (chief)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1329 SAWKILL RD, KINGSTON, NY, 12401

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Plain-English Taxonomy & CMS Crosswalk (152WL0500X)

What Does Taxonomy Code 152WL0500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152WL0500X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Low Vision Rehabilitation"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist, Low Vision Rehabilitation for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMBIENT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152WL0500X` — Optometrist, Low Vision Rehabilitation Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist, Low Vision Rehabilitation	State: NY \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AMBIENT (NPI #1053673178)