Active NPI
Corey Michael Coddington, OD
- Optician
- Rochester, NY
National Provider Identifier
1295241024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 009794-1
- Practice address
- 2150 Chili Ave
Rochester, NY 14624-3453 - Phone
- (585) 429-9780
- Fax
- (585) 429-9687
- NPI assigned
- Dec 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 009794-1 | NY | Primary |
Addresses
Primary practice location
2150 Chili Ave
Rochester, NY 14624-3453
Mailing address
5 Nova LN
Rochester, NY 14606-5807
Phone (585) 613-2350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009794-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513296000000",
"number": "1295241024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 NOVA LN",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146065807",
"telephone_number": "585-613-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 CHILI AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243453",
"telephone_number": "585-429-9780",
"fax_number": "585-429-9687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CODDINGTON",
"first_name": "COREY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-15",
"last_updated": "2017-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "009794-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.