Individual provider Active NPI

Vadim Guy, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1205119120
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007822 Issued in NY
Practice address
1425 Jefferson Rd
Family Vision Center
Rochester, NY 14623-3139
Phone
(585) 427-0780
Fax
(585) 427-0781
NPI assigned
Sep 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4642 FL
Optometrist 152W00000X TUV007822 NY Primary
Corneal and Contact Management Optometrist 152WC0802X TUV007822 NY
Vision Therapy Optometrist 152WV0400X TUV007822 NY
Sports Vision Optometrist 152WS0006X TUV007822 NY
Pediatric Optometrist 152WP0200X TUV007822 NY

Addresses

Primary practice location

1425 Jefferson Rd
Family Vision Center
Rochester, NY 14623-3139

Mailing address

1425 Jefferson Rd
Family Vision Center
Rochester, NY 14623-3139
Phone (585) 427-0780

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
I20130524000190 NY Practitioner - Optometry 6103099965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Optometry Professional PLLCGroup PAC ID 5890169841, 26 clinicians

Practice addresses (Care Compare)

3455 Vestal Pkwy E
Vestal, NY 13850-2147
Phone (607) 722-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007822NYMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New York Optometry Professional PLLC Optometrist CurrentSince Jun 19, 2023 Accepting new patients
V & G Vision, Inc. Optometrist CurrentSince May 14, 2013 Accepting new patients

Locations

1425 Jefferson Rd
Rochester, NY 14623
Phone (585) 334-0200

75 Main St
Sidney, NY 13838
Phone (607) 563-2442

3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020

Interoperability endpoints

  • Direct secure messaging: drguy@direct.revolutionehr.com

Organizations & group practices 2

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": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1205119120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 JEFFERSON RD",
            "address_2": "FAMILY VISION CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233139",
            "telephone_number": "585-427-0780",
            "fax_number": "585-427-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 JEFFERSON RD",
            "address_2": "FAMILY VISION CENTER",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233139",
            "telephone_number": "585-427-0780",
            "fax_number": "585-427-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUY",
        "first_name": "VADIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4642",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007822",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV007822",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV007822",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NY",
            "license": "TUV007822",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV007822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.