Individual provider Active NPI

Bryant J Shin, MD

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1104851237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
225028 Issued in NY
Practice address
973 East Avenue
Rochester, NY 14607
Phone
(585) 442-1515
Fax
(585) 442-8376
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 225028 NY Primary

Addresses

Primary practice location

973 East Avenue
Rochester, NY 14607

Mailing address

36 Legacy Oak Trail
Pittsford, NY 14534
Phone (585) 249-0087

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115001057 NY Practitioner - Ophthalmology 5496656183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Western New York PLLCGroup PAC ID 0840240941, 12 clinicians

Practice addresses (Care Compare)

919 Westfall Rd
BLDG a Suite 205
Rochester, NY 14618-2638

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery381

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology CurrentSince Aug 10, 2009 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology CurrentSince Aug 10, 2009 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology Past Accepting new patients
Bryant Shin, MD PC Ophthalmology Past Accepting new patients

Locations

919 Westfall Rd
Ste A205
Rochester, NY 14618
Phone (585) 244-2580

1015 Ridge Rd
Webster, NY 14580
Phone (585) 244-2580

Interoperability endpoints

  • Direct secure messaging: bshin@ocusight.emadirect.md

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104851237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 LEGACY OAK TRAIL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-249-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 EAST AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14607",
            "telephone_number": "585-442-1515",
            "fax_number": "585-442-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "BRYANT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "225028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.