Jeremy Norman Outinen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ORT009058 Issued in NY

Practice address

3349 Monroe Ave
Rochester, NY 14618-5513

Phone

(585) 381-1613

Fax

(585) 381-0718

NPI assigned

Mar 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  Medicare reassignment NPD
• V & G Vision, Inc.

  • Optometrist
  • Rochester, NY
  • NPI 1346684230
  Medicare reassignment NPD
• R.J.Visions, Inc

  • Optician
  • Rochester, NY
  • NPI 1336187327
  NPD (past)

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1255834768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185513",
            "telephone_number": "585-381-1613",
            "fax_number": "585-381-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185513",
            "telephone_number": "585-381-1613",
            "fax_number": "585-381-0718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Greece Ridge Center Dr",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146262815",
            "country_code": "US",
            "telephone_number": "585-227-6771",
            "fax_number": "585-227-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUTINEN",
        "first_name": "JEREMY",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-10",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "ORT009058",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "ORT009058",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NY",
            "license": "ORT009058",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "ORT009058",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT009058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiaolan Ou, MD
• Fatima Leila Ouattara-Diarra I
• Sue E Ouellette, LMFT
• Fatiha Ousalem, D.M.D.
• Out of the Darkness, Inc
• Carmillia Outing-Thomas
• Brenda L Ovando, LMT
• Claire Ovenshire, RN
• Jennifer Lee Overbeck, M.S., CCC-SLP
• Emma M Overfield, OTR/L

• 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 Jun 7, 2024; 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.

Verify at the official NPI Registry.