Individual provider Active NPI

Kelly Diane Farrar, O.D.

  • Optometrist
  • Newark, NY
National Provider Identifier
1073614293
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005792 Issued in NY
Practice address
1105 Driving Park Ave
Newark, NY 14513-1069
Phone
(315) 331-5721
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005792 NY Primary

Addresses

Primary practice location

1105 Driving Park Ave
Newark, NY 14513-1069

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (315) 331-5721

Other practice location 1

500 Kreag Rd
Pittsford, NY 14534-3705
Phone (585) 249-8300

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
I20111217000008 NY Practitioner - Optometry 8729253927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1338 E Ridge Rd
Wny Reed Eye Associates
Rochester, NY 14621-2018
Phone (585) 544-6680

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Aug 1, 2019 Accepting new patients

Locations

39 Washington Ave
Batavia, NY 14020
Phone (585) 343-2480

1105 Driving Park Ave
Newark, NY 14513
Phone (315) 331-5721

500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1338 E Ridge Rd
Rochester, NY 14621
Phone (585) 544-2003

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1073614293",
    "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": "315-331-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131069",
            "telephone_number": "315-331-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Kreag Rd",
            "address_purpose": "LOCATION",
            "city": "Pittsford",
            "state": "NY",
            "postal_code": "145343705",
            "country_code": "US",
            "telephone_number": "585-249-8300",
            "fax_number": "585-249-8361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "KELLY",
        "middle_name": "DIANE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.