Individual provider Active NPI

Judith Archer, O.D.

  • Optometrist
  • Victor, NY
National Provider Identifier
1013089275
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0070881 Issued in NY
Practice address
307 Eastview Mall
7979 Pittsford-Victor
Victor, NY 14564-1017
Phone
(716) 425-7400
Fax
(585) 427-2818
NPI assigned
Nov 14, 2006
Last updated
Oct 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0070881 NY Primary

Addresses

Primary practice location

307 Eastview Mall
7979 Pittsford-Victor
Victor, NY 14564-1017

Mailing address

6206 Holly Creek Drive
Ontario, NY 14519
Phone (585) 645-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000758 NY Practitioner - Optometry 3870568397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

950 Ridge Rd
Webster, NY 14580-2568
Phone (585) 671-6630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0070881NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Apr 15, 2023 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Apr 15, 2023 Accepting new patients
Empire Vision Center, Inc CurrentSince Mar 25, 2017 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Mar 25, 2017 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Current Accepting new patients

Locations

333 Grant Avenue Rd
Auburn, NY 13021
Phone (315) 225-9212

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

280 Delaware Ave
Buffalo, NY 14202
Phone (716) 854-1620

3035 Genesee St
Cheektowaga, NY 14225
Phone (716) 706-4627

3035 Genesee St
Ste 5
Cheektowaga, NY 14225
Phone (716) 896-3351

1440 Central Ave
Ste E2
Colonie, NY 12205
Phone (518) 489-8575

50 S Main St
Ste 138
Fairport, NY 14450
Phone (585) 223-8480

1234 Abbott Rd
Lackawanna, NY 14218
Phone (716) 272-1140

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

6624 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-8235

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2815 Monroe Ave
Rochester, NY 14618
Phone (585) 443-8696

3180 Latta Rd
Ste 300
Rochester, NY 14612
Phone (585) 663-6655

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

642 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 695-3733

950 Ridge Rd
Webster, NY 14580
Phone (585) 671-6630

2305 Union Rd
West Seneca, NY 14224
Phone (716) 668-0711

175 E Houston St
Fl 5
San Antonio, TX 78205
Phone (210) 524-6922

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1013089275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 HOLLY CREEK DRIVE",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "14519",
            "telephone_number": "585-645-4239",
            "fax_number": "585-425-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 EASTVIEW MALL",
            "address_2": "7979 PITTSFORD-VICTOR",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641017",
            "telephone_number": "716-425-7400",
            "fax_number": "585-427-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0070881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.