Individual provider Active NPI

Michele A Jamison, MD

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1235129479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
201772 Issued in NY
Practice address
90 Erie Canal Dr
Rochester, NY 14626-4601
Phone
(585) 225-5883
Fax
(585) 225-8902
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 201772 NY Primary

Addresses

Primary practice location

90 Erie Canal Dr
Rochester, NY 14626-4601

Mailing address

90 Erie Canal Dr
Rochester, NY 14626-4601
Phone (585) 225-5883

Other identifiers 2

IdentifierTypeStateIssuer
01821356MedicaidNY
P00065830OtherRR MEDICARE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505001051 NY Practitioner - Ophthalmology 5597762286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1015 Ridge Rd
Webster, NY 14580-2907

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology Current Accepting new patients
Eye Physicians and Surgeons of Western New York PLLC Ophthalmology Past Accepting new patients

Locations

2 Greece Center Dr
Rochester, NY 14612
Phone (585) 225-7060

1015 Ridge Rd
Webster, NY 14580
Phone (585) 244-2580

Organizations & group practices 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235129479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ERIE CANAL DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264601",
            "telephone_number": "585-225-5883",
            "fax_number": "585-225-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ERIE CANAL DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264601",
            "telephone_number": "585-225-5883",
            "fax_number": "585-225-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "MICHELE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "201772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01821356",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00065830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.