Patricia J Andolina, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T0043841 Issued in NY

Practice address

3180 Latta Rd
Suite #300
Rochester, NY 14612-3087

Phone

(585) 663-6655

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Patricia Persia Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Park Sher Optical Co of Buffalo Ny Inc

  • Optometrist
  • Cheektowaga, NY
  • NPI 1659484996
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1255485009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 NOBLE DRIVE",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "14559",
            "telephone_number": "585-352-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 LATTA RD",
            "address_2": "SUITE #300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123087",
            "telephone_number": "585-663-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDOLINA",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T0043841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "P010004384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101963CS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "PERSIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Robert Andolina, M.D.
• John R Andolina, M.D.
• Kass Andolina Andolina, LMT
• Maryann Andolina, BS,RN
• Michael J Andolina, D.D.S.
• Mary Ellen Andolsek, NP
• Andonian LPN Services, PC
• Stephanie Andrade
• Jessica Andre, LMSW
• Leanne Delight Andre

• Optometrist in Rochester, NY
• Providers in Rochester, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.