NPIMap

Organization Active NPI

Steve B. Park, MD PC

Doing business as Cornerstone Eye Associates

  • Optometrist
  • Rochester, NY
National Provider Identifier
1235246984
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005295-1 Issued in NY
Legal business name
STEVE B. PARK, MD PC
Doing business as
Cornerstone Eye Associates
Practice address
2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1367
Phone
(585) 328-0153
Fax
(585) 328-0158
NPI assigned
Aug 25, 2006
Last updated
Apr 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Dr. Steve B. Park, M.D.NPI 1053393009
Title
Owner
Phone
(585) 328-0153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV004649-1 NY
Optometrist 152W00000X T005400-1 NY
Optometrist 152W00000X TUV003238-1 NY
Optometrist 152W00000X TUV005295-1 NY Primary
Optician 156FX1800X NU
Ophthalmology Physician 207W00000X 182420-1 NY
Ophthalmology Physician 207W00000X 156287-2 NY
Ophthalmology Physician 207W00000X 198945-1 NY
Ophthalmology Physician 207W00000X 083720-1 NY

Addresses

Primary practice location

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1367

Mailing address

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1367
Phone (585) 328-0153

Other identifiers 3

IdentifierTypeStateIssuer
01445376MedicaidNY
01093163MedicaidNY
01728156MedicaidNY

Other names 1

  • Cornerstone Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006001363 NY Part B Supplier - Clinic/Group Practice 0446219372 Receives reassigned benefits from 22 practitioners
Practice locations: Rochester, NY; Victor, NY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2070088Steve B Park, MD, PC2300 Buffalo Road, BLDG 700, Rochester, NY 14624Certificate of waiverDec 9, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Conerstone Eye Associates2300 Buffalo Rd, Rochester, NY 14624-1367(585) 328-0153 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
West Park Eye Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2300 Buffalo Rd
Bldg 700
Rochester, NY 14624
Phone (585) 254-2260

485 Titus Ave
Ste A
Rochester, NY 14617
Phone (585) 266-5636

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1235246984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241367",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241367",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE B. PARK, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-328-0153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004649-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005400-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003238-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005295-1",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "182420-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "156287-2",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "198945-1",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "083720-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01445376",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01093163",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01728156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cornerstone Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.