Active NPI
Richard R Jamison, MD
- Ophthalmology Physician
- Rochester, NY
National Provider Identifier
1255321352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 105740
- Practice address
- 90 Erie Canal Dr
Rochester, NY 14626-4601 - Phone
- (585) 225-5883
- Fax
- (585) 225-8902
- NPI assigned
- Oct 28, 2005
- Last updated
- Jan 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 105740 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00453961 | Medicaid | NY | |
| P010105740 | Other | NY | BLUE CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1255321352",
"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": "RICHARD",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "105740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00453961",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010105740",
"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 Jan 12, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.