NPIMap

Organization Active NPI

Rochester Eye Care Group, PC

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1245327550
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROCHESTER EYE CARE GROUP, PC
Practice address
30 N Union St
101
Rochester, NY 14607-1345
Phone
(585) 232-2560
Fax
(585) 232-6446
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Mr. Jeffery E Baldick
Title
Administrator
Phone
(585) 546-7610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

30 N Union St
101
Rochester, NY 14607-1345

Mailing address

30 N Union St
101
Rochester, NY 14607-1345
Phone (585) 232-2560

Other identifiers 2

IdentifierTypeStateIssuer
01750756MedicaidNY
G0189600590OtherNYEXCELLUS BLUE CHOICE

Other names 1

  • Rochester Eye & Laser Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000068 NY Part B Supplier - Clinic/Group Practice 7416059274 Receives reassigned benefits from 4 practitioners
Practice locations: Rochester, NY

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Kenneth J Lindahl MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

30 N Union St
Rochester, NY 14607
Phone (585) 232-2560

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1245327550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N UNION ST",
            "address_2": "101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071345",
            "telephone_number": "585-232-2560",
            "fax_number": "585-232-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N UNION ST",
            "address_2": "101",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071345",
            "telephone_number": "585-232-2560",
            "fax_number": "585-232-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER EYE CARE GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "BALDICK",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-546-7610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01750756",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CHOICE",
            "identifier": "G0189600590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochester Eye & Laser Center",
            "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 Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.