NPIMap

Organization Active NPI

CVG Optometry, LLC

  • Optometrist
  • Rochester, NY
National Provider Identifier
1194959486
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005201 Issued in NY
Legal business name
CVG OPTOMETRY, LLC
Practice address
3171 Chili Ave
Suite 100
Rochester, NY 14624-5440
Phone
(585) 889-9693
Fax
(585) 889-3558
NPI assigned
May 14, 2009
Last updated
Jan 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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

Authorized official

Name
Mrs. Erica M Marciano
Title
Office Manager
Phone
(585) 889-9693

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV005201 NY Primary
Eyewear Supplier 332H00000X TUV005201 NY

Addresses

Primary practice location

3171 Chili Ave
Suite 100
Rochester, NY 14624-5440

Mailing address

3171 Chili Ave
Suite 100
Rochester, NY 14624-5440
Phone (585) 889-9693

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000231 NY Part B Supplier - Clinic/Group Practice 8921158015 Receives reassigned benefits from 28 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

3171 Chili Ave
Ste 100
Rochester, NY 14624
Phone (585) 889-9693

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1194959486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 CHILI AVE",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245440",
            "telephone_number": "585-889-9693",
            "fax_number": "585-889-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 CHILI AVE",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146245440",
            "telephone_number": "585-889-9693",
            "fax_number": "585-889-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVG OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "MARCIANO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-889-9693",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005201",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV005201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.