Joseph C Biondolillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV0038391 Issued in NY

Practice address

206 Lake St
Hamburg, NY 14075-4471

Phone

(716) 649-1010

Fax

(716) 649-1382

NPI assigned

Sep 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 11

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.biondolillo.1@26491.direct.athenahealth.com

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.

• Biondolillo Eye Care LLC

  • Optometrist
  • Hamburg, NY
  • NPI 1811200116

  NY, Optometrist

  Medicare reassignment NPD Authorized official
• Neighborhood Health Center of Wny, Inc.

  • Obstetrics & Gynecology Physician
  • Buffalo, NY
  • NPI 1881789014

  NY

  Medicare reassignment NPD
• Neighborhood Health Center of Wny, Inc.

  • Community/Retail Pharmacy
  • Buffalo, NY
  • NPI 1821467226
  NPD
• Joseph C Biondolillo

  • Eyewear Supplier
  • Hamburg, NY
  • NPI 1326226531
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1104810845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754471",
            "telephone_number": "716-649-1010",
            "fax_number": "716-649-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LAKE ST",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754471",
            "telephone_number": "716-649-1010",
            "fax_number": "716-649-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIONDOLILLO",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0038391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "15568",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "161150836",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "612",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY3839",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "330823",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "7166491010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "NY3839",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000300107001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "161150836",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "7209491",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020345201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bhcofwny
• Stella Bialaszewski, PHARMD
• Big Tree Emergency Medical Services, Inc.
• Big Tree Volunteer Firemen'S Company, Inc.
• Biondolillo Eye Care LLC
• Jordan Birner, PA
• Tammy Lynn Bissonnette, MA, LMHC, CASAC, QHP
• Donna Marie Bitka, DDS
• Karen Lynne Blair, OT/L
• James M. Blake, DDS

• All providers in Hamburg, NY
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.