University of Rochester Neuro-Ophthalmology Services

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

UNIVERSITY OF ROCHESTER NEURO-OPHTHALMOLOGY SERVICES

Practice address

601 Elmwood Ave
Rochester, NY 14642-0001

Phone

(585) 758-7671

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Jill M Hetterich

Title

Senior Director, Finance, Urmfg

Phone

(585) 756-4008

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bayan Ali Mahmoud Al Othman, MD

  • Neuro-ophthalmology Physician
  • Rochester, NY
  • NPI 1316438971
  Medicare reassignment Care Compare group NPD
• Natalie Brossard Barbosa

  • Neuro-ophthalmology Physician
  • Rochester, NY
  • NPI 1558081968
  Medicare reassignment Care Compare group NPD
• Zoe R Williams, M.D.

  • Ophthalmology Physician
  • Rochester, NY
  • NPI 1730287236
  Medicare reassignment Care Compare group NPD
• Mithra Gonzalez, MD

  • Ophthalmology Physician
  • Rochester, NY
  • NPI 1396859682
  Medicare reassignment NPD
• Alexander Hartmann, M.D.

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1134412877

  NY

  Medicare reassignment NPD
• Maria Christine Costello, PA-C

  • Physician Assistant
  • Rochester, NY
  • NPI 1619574209
  Medicare reassignment

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1104074962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 888",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-784-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-758-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ROCHESTER NEURO-OPHTHALMOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, FINANCE, URMFG",
        "authorized_official_telephone_number": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03074953",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Rochester Glaucoma Services
• University of Rochester Internal Medicine Associates
• University of Rochester Medical Center
• University of Rochester Medical Center
• University of Rochester Medical Center
• University of Rochester Neurosurgery Group
• University of Rochester OBGYN Subspecialties
• University of Rochester Orthopaedic Oncology Division
• University of Rochester Pediatric Neurosurgery
• University of Rochester Pediatric Ophthalmology Services

• Ophthalmology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.