Organization Active NPI

Infinity Eye OD PLLC

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1104865062
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INFINITY EYE OD PLLC
Practice address
8560 Main St
Williamsville, NY 14221-7460
Phone
(716) 668-2020
Fax
(716) 204-8639
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Michael S MurphyNPI 1073518759
Title
Office Manager
Phone
(716) 668-2020

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

8560 Main St
Williamsville, NY 14221-7460

Mailing address

8560 Main St
Williamsville, NY 14221-7460
Phone (716) 668-2020

Other identifiers 3

IdentifierTypeStateIssuer
NY08450OtherNYVISION BENEFITS OF AMERIC
00030750401OtherNYUNIVERA HEALTHCARE
2409276OtherNYUNITED HEALTH CARE

Other names 1

  • Clarence Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608001013 NY Part B Supplier - Clinic/Group Practice 6507849957 Receives reassigned benefits from 2 practitioners
Practice locations: East Amherst, NY

National Provider Directory

National Provider Directory

Locations

8770 Transit Rd
Ste 2
East Amherst, NY 14051
Phone (716) 689-7546

8450 Main St
Williamsville, NY 14221
Phone (716) 632-6102

Practitioners & affiliated clinicians

Practitioners 4

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": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1104865062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217460",
            "telephone_number": "716-668-2020",
            "fax_number": "716-204-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 MAIN ST",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217460",
            "telephone_number": "716-668-2020",
            "fax_number": "716-204-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY EYE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-668-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "NY08450",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00030750401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2409276",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarence Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.