Active NPI
Vadim Guy, O.D.
- Optometrist
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007822
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3455 Vestal Pkwy E
Vestal, NY 13850-2147
Phone (607) 722-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007822 | NY | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Optometry Professional PLLC | Optometrist | Current | Accepting new patients |
| V & G Vision, Inc. | Optometrist | Current | 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
- 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.
-
- Optometrist
- Sidney, NY
- NPI 1598470544
-
- Optometrist
- Rochester, NY
- NPI 1346684230
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.