Strong Optical Shop
Organization Active NPI Eyewear Supplier · Rochester, NY
NPI 1124744735 · NPPES record last updated Feb 14, 2023
Key facts
- NPI
- 1124744735
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- STRONG OPTICAL SHOP
- Practice address
- 500 Clinton Ave S
Ste 104
Rochester, NY 14620-1105 - Phone
- (585) 727-9034
- NPI assigned
- Oct 14, 2022
- Organization subpart
- No
Authorized official
- Name
- Jill M Hetterich
- Title
- Sr Director of Finance, Chief Budge
- Phone
- (585) 756-4008
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 7
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Strong Optical Shop |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230324001093 | NY | DME Supplier - Optician | 2365647286 | Practice locations: Rochester, NY |
National Provider Directory
- Tax ID family
- Strong Optical Shop
Locations
601 Elmwood Ave
#27778
Rochester, NY 14642
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
500 Clinton Ave S
Ste 104
Rochester, NY 14620-1105
Mailing address
601 Elmwood Ave Box 278884
Rochester, NY 14642-0001
Phone (585) 727-9034
NPI Registry JSON
{
"created_epoch": "1665705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676332800000",
"number": "1124744735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 278884",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-727-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CLINTON AVE S",
"address_2": "STE 104",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201105",
"telephone_number": "585-727-9034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRONG OPTICAL SHOP",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-14",
"last_updated": "2023-02-14",
"certification_date": "2023-02-09",
"status": "A",
"authorized_official_last_name": "HETTERICH",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SR DIRECTOR OF FINANCE, CHIEF BUDGE",
"authorized_official_telephone_number": "585-756-4008"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
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- Strong Optical Shop
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All providers in Rochester, NY · Eyewear Supplier in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.