Individual provider Active NPI

Linda Sue Shenkle, OD

  • Optometrist
  • Amherst, NY
National Provider Identifier
1144225152
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005071-1 Issued in NY
Practice address
2825 Niagara Falls Blvd
Ste 130
Amherst, NY 14228-2021
Phone
(716) 564-2020
Fax
(716) 564-2060
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005071-1 NY Primary

Addresses

Primary practice location

2825 Niagara Falls Blvd
Ste 130
Amherst, NY 14228-2021

Mailing address

1050 Wayne Ave
North Tonawanda, NY 14120-3442
Phone (716) 465-7139

Other identifiers 10

IdentifierTypeStateIssuer
161578122OtherNYNORTH AMERICAN PREFERRED
161578122OtherNYNOVA
000390043002OtherNYCOMMUNITY BLUE
02505984MedicaidNY
251744484OtherNYEMPIRE - UNITED HEALTHCAR
000390043004OtherNYCOMMUNITY BLUE
251744484OtherNYNOVA
410042274OtherNYMEDICARE RAILROAD
161578122OtherNYEMPIRE - UNITED HEALTHCAR
251744484OtherNYNORTH AMERICAN PREFERRED

Other names 1

  • Mrs. Linda Sue Tock Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000723 NY Practitioner - Optometry 0941496343 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
R J Joba OD PCGroup PAC ID 7810996980, 3 clinicians

Practice addresses (Care Compare)

6929 Erie Rd
Derby, NY 14047-9436
Phone (716) 947-2462

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005071-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
R J Joba OD PC CurrentSince Jan 2, 2026 Accepting new patients
Biondolillo Eye Care LLC Optometrist CurrentSince Jan 2, 2026 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Past Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Past Accepting new patients
Joseph C Biondolillo Past Accepting new patients

Locations

6929 Erie Rd
Derby, NY 14047
Phone (716) 947-2462

206 Lake St
Hamburg, NY 14075
Phone (716) 646-3147

206 Lake St
Ste 7
Hamburg, NY 14075
Phone (716) 649-1010

Organizations & group practices 7

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1144225152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 WAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203442",
            "telephone_number": "716-465-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 NIAGARA FALLS BLVD",
            "address_2": "STE 130",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282021",
            "telephone_number": "716-564-2020",
            "fax_number": "716-564-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHENKLE",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005071-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000390043002",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02505984",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - UNITED HEALTHCAR",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000390043004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOVA",
            "identifier": "251744484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410042274",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE - UNITED HEALTHCAR",
            "identifier": "161578122",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH AMERICAN PREFERRED",
            "identifier": "251744484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "TOCK",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.