Individual provider Active NPI

Jennifer A Bateman, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1285821983
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7948 Issued in NY
Practice address
20 Allens Creek Rd Ste 1
Rochester, NY 14618-3253
Phone
(919) 721-9874
NPI assigned
Sep 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P117855 NY
Optometrist 152W00000X 7948 NY Primary

Addresses

Primary practice location

20 Allens Creek Rd Ste 1
Rochester, NY 14618-3253

Mailing address

212 Forest Hills Rd
Rochester, NY 14625-1939

Other practice location 1

212 Forest Hills Rd
Rochester, NY 14625-1939
Phone (716) 795-7382

Other practice location 2

121 N Fitzhugh St
Rochester, NY 14614-1214
Phone (585) 325-1186

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
I20131121001278 NY Practitioner - Optometry 7911133905 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P117855NYMDMental Health Counselor
7948NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allens Creek Family Optometry, PLLC Optometrist CurrentSince Jan 15, 2021 Accepting new patients

Locations

20 Allens Creek Rd
Ste 1
Rochester, NY 14618
Phone (585) 461-6225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1285821983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FOREST HILLS RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ALLENS CREEK RD STE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183253",
            "telephone_number": "919-721-9874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Forest Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146251939",
            "country_code": "US",
            "telephone_number": "716-795-7382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 N Fitzhugh St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146141214",
            "country_code": "US",
            "telephone_number": "585-325-1186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P117855",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "7948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.