Organization Active NPI

Westside Optometry PLLC

  • Optometrist
  • Rochester, NY
National Provider Identifier
1073976692
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
WESTSIDE OPTOMETRY PLLC
Practice address
250 Mile Crossing Blvd Ste 1B
Rochester, NY 14624-6242
Phone
(585) 571-9034
Fax
(585) 471-8827
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Dr. David E. D'Amico, O.D.NPI 1851497176
Title
Owner
Phone
(585) 571-9034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

250 Mile Crossing Blvd Ste 1B
Rochester, NY 14624-6242

Mailing address

250 Mile Crossing Blvd Ste 1B
Rochester, NY 14624-6242
Phone (585) 571-9034

Other names 1

  • Westside Eyecare Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160427001727 NY Part B Supplier - Clinic/Group Practice 7416256318 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

250 Mile Crossing Blvd
Ste 1B
Rochester, NY 14624
Phone (585) 571-9034

3225 Chili Ave
Rochester, NY 14624
Phone (585) 571-9034

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1073976692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MILE CROSSING BLVD STE 1B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246242",
            "telephone_number": "585-571-9034",
            "fax_number": "585-471-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MILE CROSSING BLVD STE 1B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246242",
            "telephone_number": "585-571-9034",
            "fax_number": "585-471-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "D'AMICO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-571-9034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westside Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.