Individual provider Active NPI

Steve Kasprzak, O.D.

  • Optometrist
  • Tonawanda, NY
National Provider Identifier
1174718340
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1553-584T Issued in LA
Practice address
642 Sheridan Dr
Tonawanda, NY 14150-7853
Phone
(716) 695-3733
NPI assigned
Sep 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 1553-584T LA Primary

Addresses

Primary practice location

642 Sheridan Dr
Tonawanda, NY 14150-7853

Mailing address

1234 Abbott Rd Ste 13
Lackawanna, NY 14218-1944
Phone (716) 770-5970

Other practice location 1

7900 Buffalo Ave
Niagara Falls, NY 14304-4277
Phone (716) 283-8746

Other practice location 2

3035 Genesee St
Cheektowaga, NY 14225-2661
Phone (716) 896-3351

Other practice location 3

3301 Veterans Memorial Blvd
JCPenney Optical
Metairie, LA 70002-7657
Phone (504) 833-8042

Other identifiers 1

IdentifierTypeStateIssuer
03221170MedicaidNY

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
I20081215000728 NY Practitioner - Optometry 5698837375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

642 Sheridan Dr
Tonawanda, NY 14150-7853
Phone (716) 695-3733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1553-584TLAMDOptometrist
007228NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince May 22, 2023 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince May 22, 2023 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Current Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Past Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Past Accepting new patients

Locations

280 Delaware Ave
Buffalo, NY 14202
Phone (716) 854-1620

3035 Genesee St
Cheektowaga, NY 14225
Phone (716) 706-4627

3035 Genesee St
Ste 5
Cheektowaga, NY 14225
Phone (716) 896-3351

50 S Main St
Ste 138
Fairport, NY 14450
Phone (585) 223-8480

1234 Abbott Rd
Lackawanna, NY 14218
Phone (716) 272-1140

1234 Abbott Rd
Ste 13
Lackawanna, NY 14218
Phone (716) 826-9230

6624 Lincoln Ave
Lockport, NY 14094
Phone (716) 433-8235

6624 Lincoln Ave
Ste 6109
Lockport, NY 14094

2815 Monroe Ave
Rochester, NY 14618
Phone (585) 443-8696

3180 Latta Rd
Ste 300
Rochester, NY 14612
Phone (585) 663-6655

642 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 695-3733

642 Sheridan Dr
#2
Tonawanda, NY 14150

950 Ridge Rd
Ste 7
Webster, NY 14580
Phone (585) 671-6630

950 Ridge Rd
Webster, NY 14580
Phone (585) 671-6630

2305 Union Rd
West Seneca, NY 14224
Phone (716) 656-1321

5350 Main St
Williamsville, NY 14221
Phone (716) 218-0022

5350 Main St
Ste 4
Williamsville, NY 14221

Interoperability endpoints

  • Direct secure messaging: steve.kasprzak@uprisedirect.com

Organizations & group practices 5

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": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1174718340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 ABBOTT RD STE 13",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181944",
            "telephone_number": "716-770-5970",
            "fax_number": "716-219-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507853",
            "telephone_number": "716-695-3733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7900 Buffalo Ave",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143044277",
            "country_code": "US",
            "telephone_number": "716-283-8746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3035 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142252661",
            "country_code": "US",
            "telephone_number": "716-896-3351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Veterans Memorial Blvd",
            "address_2": "JCPenney Optical",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700027657",
            "country_code": "US",
            "telephone_number": "504-833-8042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASPRZAK",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-11",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1553-584T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03221170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.