Active NPI
Linda Sue Shenkle, OD
- Optometrist
- Amherst, NY
National Provider Identifier
1144225152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005071-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161578122 | Other | NY | NORTH AMERICAN PREFERRED |
| 161578122 | Other | NY | NOVA |
| 000390043002 | Other | NY | COMMUNITY BLUE |
| 02505984 | Medicaid | NY | |
| 251744484 | Other | NY | EMPIRE - UNITED HEALTHCAR |
| 000390043004 | Other | NY | COMMUNITY BLUE |
| 251744484 | Other | NY | NOVA |
| 410042274 | Other | NY | MEDICARE RAILROAD |
| 161578122 | Other | NY | EMPIRE - UNITED HEALTHCAR |
| 251744484 | Other | NY | NORTH AMERICAN PREFERRED |
Other names 1
- Mrs. Linda Sue Tock
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
Enrollment records 1
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
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005071-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R J Joba OD PC | Current | Accepting new patients | |
| Biondolillo Eye Care LLC | Optometrist | Current | 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.
-
- Health Maintenance Organization
- Derby, NY
- NPI 1659327054
-
- Optometrist
- Hamburg, NY
- NPI 1811200116
-
- Ophthalmology Physician
- Amherst, NY
- NPI 1063459808
-
- Optometrist
- Buffalo, NY
- NPI 1831175090
-
- Eyewear Supplier
- Hamburg, NY
- NPI 1326226531
-
- Optometrist
- Cheektowaga, NY
- NPI 1659484996
-
- Optometrist
- Rocky Hill, CT
- NPI 1164924643
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.