Individual provider Active NPI

Sean Mogan, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Webster, NY
National Provider Identifier
1013983923
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
235037-1 Issued in NY
Practice address
1015 Ridge Rd
Webster, NY 14580-2907
Phone
(585) 872-1300
Fax
(585) 872-5397
NPI assigned
Feb 28, 2006
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 235037-1 NY
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X 235037-1 NY Primary

Addresses

Primary practice location

1015 Ridge Rd
Webster, NY 14580-2907

Mailing address

1015 Ridge Rd
Webster, NY 14580-2907
Phone (585) 872-1300

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050801000797 NY Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 1850329889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Rochester School of Medicine and Dentistry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Western New York PLLCGroup PAC ID 0840240941, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

919 Westfall Rd
BLDG a Suite 205
Rochester, NY 14618-2638

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235037-1NYMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology CurrentSince Oct 19, 2009 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology CurrentSince Jul 11, 2005 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology Current Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology CurrentSince Jul 11, 2005 Accepting new patients

Locations

919 Westfall Rd
Ste A205
Rochester, NY 14618
Phone (585) 244-2580

1015 Ridge Rd
Webster, NY 14580
Phone (585) 244-2580

Interoperability endpoints

  • Direct secure messaging: smogan@ocusight.emadirect.md

Organizations & group practices 4

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1013983923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802907",
            "telephone_number": "585-872-1300",
            "fax_number": "585-872-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802907",
            "telephone_number": "585-872-1300",
            "fax_number": "585-872-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAN",
        "first_name": "SEAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "235037-1",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "NY",
            "license": "235037-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.