Individual provider Active NPI

Pamela J. Brown, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1053416941
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005201 Issued in NY
Practice address
3171 Chili Ave
Suite 100
Rochester, NY 14624-5440
Phone
(585) 889-9693
Fax
(585) 889-3558
NPI assigned
Sep 14, 2006
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005201 NY Primary

Addresses

Primary practice location

3171 Chili Ave
Suite 100
Rochester, NY 14624-5440

Mailing address

3171 Chili Ave
Suite 100
Rochester, NY 14624-5440
Phone (585) 889-9693

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
I20050803000916 NY Practitioner - Optometry 0648208488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3173 Chili Ave
Suite 400
Rochester, NY 14624-5400
Phone (585) 889-9693

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005201NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
CVG Optometry, LLC Optometrist CurrentSince May 18, 2009 Accepting new patients
Louis E. Baskin, O.D. Optometrist Past Accepting new patients

Locations

3171 Chili Ave
Ste 100
Rochester, NY 14624
Phone (585) 889-9693

3173 Chili Ave
Ste 400
Rochester, NY 14624
Phone (585) 889-0750

Organizations & group practices 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1053416941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 CHILI AVE",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245440",
            "telephone_number": "585-889-9693",
            "fax_number": "585-889-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 CHILI AVE",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245440",
            "telephone_number": "585-889-9693",
            "fax_number": "585-889-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.