Individual provider Active NPI

Mary E Vadas, OD

  • Optometrist
  • Spencerport, NY
National Provider Identifier
1285692103
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005309 Issued in NY
Practice address
2277 S Union St
Spencerport, NY 14559-2225
Phone
(585) 349-3300
Fax
(585) 349-3336
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005309 NY Primary

Addresses

Primary practice location

2277 S Union St
Spencerport, NY 14559-2225

Mailing address

2277 S Union St
Spencerport, NY 14559-2225
Phone (585) 349-3300

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
I20110822000025 NY Practitioner - Optometry 6901928126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
May accept Medicare assignment
Group practices
Mary E. Vadas, OD, LLCGroup PAC ID 7719008929, 2 clinicians

Practice addresses (Care Compare)

2277 S Union St
Spencerport, NY 14559-2225
Phone (585) 349-3300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005309NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E. Vadas, OD, LLC Optometrist CurrentSince Feb 21, 2003 Accepting new patients
Mary E Vadas, OD, LLC Optometrist Past Accepting new patients
Christine C. Platt M.D. Optometrist Past Accepting new patients

Locations

2277 S Union St
Spencerport, NY 14559
Phone (585) 349-3300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1285692103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592225",
            "telephone_number": "585-349-3300",
            "fax_number": "585-349-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592225",
            "telephone_number": "585-349-3300",
            "fax_number": "585-349-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADAS",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.