NPIMap

Organization Active NPI

Western New York Medical Practice, P.C.

Doing business as WNY Eye Care Sodus

  • Optician
  • Sodus, NY
National Provider Identifier
1013724202
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Doing business as
WNY Eye Care Sodus
Practice address
6353 Ridge Rd
Sodus, NY 14551-9743
Phone
(315) 483-8300
NPI assigned
Dec 12, 2024
Last updated
Dec 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN NEW YORK MEDICAL PRACTICE, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Nichole S Holder
Title
Director, Payer Enrollment
Phone
(585) 922-0293

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optician 156FX1800X NU Primary

Addresses

Primary practice location

6353 Ridge Rd
Sodus, NY 14551-9743

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1000

Other names 1

  • WNY Eye Care Sodus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Western New York Medical Practice PC13 organizations share this tax ID, including this one
Part of
Western New York Medical Practice PC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1013724202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6353 RIDGE RD",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519743",
            "telephone_number": "315-483-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEW YORK MEDICAL PRACTICE, P.C.",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR, PAYER ENROLLMENT",
        "authorized_official_telephone_number": "585-922-0293"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WNY Eye Care Sodus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sodus, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.