Individual provider Active NPI

Richard R Chute, OD

  • Optometrist
  • Victor, NY
National Provider Identifier
1255390746
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4519 Issued in NY
Practice address
274 W Main St
C & R Vision
Victor, NY 14564-1157
Phone
(585) 924-4430
Fax
(585) 924-4093
NPI assigned
Mar 22, 2006
Last updated
Dec 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4519 NY Primary

Addresses

Primary practice location

274 W Main St
C & R Vision
Victor, NY 14564-1157

Mailing address

274 W Main St
C & R Vision
Victor, NY 14564-1157
Phone (585) 924-4430

Other identifiers 1

IdentifierTypeStateIssuer
00920287MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000486 NY Practitioner - Optometry 2264491158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4519NYMDOptometrist
004519NYMDAcupuncturist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1255390746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "address_2": "C & R VISION",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-4430",
            "fax_number": "585-924-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "address_2": "C & R VISION",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-4430",
            "fax_number": "585-924-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUTE",
        "first_name": "RICHARD",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00920287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.