Organization Active NPI

Rochester Eye Associates Physicians & Surgeons PC

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1225242233
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROCHESTER EYE ASSOCIATES PHYSICIANS & SURGEONS PC
Practice address
2301 Lac de Ville Blvd
Rochester, NY 14618
Phone
(585) 244-0332
Fax
(585) 473-8833
NPI assigned
May 9, 2007
Last updated
Sep 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Kyle E. Willows, MD
Title
President
Phone
(585) 244-0332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2301 Lac de Ville Blvd
Rochester, NY 14618

Mailing address

2301 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 244-0332

Other identifiers 2

IdentifierTypeStateIssuer
01471127MedicaidNY
0610260002OtherNYDMERC

National Provider Directory

National Provider Directory

Locations

2301 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 244-0332

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1225242233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-244-0332",
            "fax_number": "585-244-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-244-0332",
            "fax_number": "585-473-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER EYE ASSOCIATES PHYSICIANS & SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "WILLOWS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-244-0332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01471127",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0610260002",
            "state": "NY"
        }
    ],
    "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 Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.