Organization Active NPI

Western New York Center for the Visually Impaired, Inc

  • Low Vision Rehabilitation Optometrist
  • West Seneca, NY
National Provider Identifier
1275666190
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
5358 Issued in NY
Legal business name
WESTERN NEW YORK CENTER FOR THE VISUALLY IMPAIRED, INC
Practice address
3070 Transit Rd
West Seneca, NY 14224-2584
Phone
(716) 668-1166
Fax
(716) 668-1466
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Authorized official

Name
Dr. John Rundquist, ODNPI 1386611358
Title
Executive Director
Phone
(716) 668-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X 5358 NY Primary

Addresses

Primary practice location

3070 Transit Rd
West Seneca, NY 14224-2584

Mailing address

3070 Transit Rd
West Seneca, NY 14224-2584
Phone (716) 668-1166

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080813000485 NY Part B Supplier - Clinic/Group Practice 4284709098 Receives reassigned benefits from 2 practitioners
Practice locations: West Seneca, NY

National Provider Directory

National Provider Directory

Locations

3070 Transit Rd
West Seneca, NY 14224
Phone (716) 668-1166

Practitioners & affiliated clinicians

Practitioners 2

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1275666190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 TRANSIT RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242584",
            "telephone_number": "716-668-1166",
            "fax_number": "716-668-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 TRANSIT RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242584",
            "telephone_number": "716-668-1166",
            "fax_number": "716-668-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK CENTER FOR THE VISUALLY IMPAIRED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "RUNDQUIST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-668-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "5358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Seneca, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.