Organization Active NPI

Retina Associates of Western Ny PC

  • Retina Specialist (Ophthalmology) Physician
  • Rochester, NY
National Provider Identifier
1295811560
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA ASSOCIATES OF WESTERN NY PC
Practice address
160 Sawgrass Dr Ste 200
Rochester, NY 14620-4655
Phone
(585) 442-3411
Fax
(585) 442-9550
NPI assigned
Oct 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Brian P Connolly, MDNPI 1164401741
Title
President
Phone
(585) 442-3411

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

160 Sawgrass Dr Ste 200
Rochester, NY 14620-4655

Mailing address

160 Sawgrass Dr Ste 200
Rochester, NY 14620-4655
Phone (585) 442-3411

Other practice location 1

275 Parrish St
Canandaigua, NY 14424-1785
Phone (585) 442-3411

Other practice location 2

32 N Main St
Canandaigua, NY 14424-1402
Phone (585) 442-3411

Other practice location 3

3345 Chambers Rd Ste 11
Horseheads, NY 14845-1441
Phone (585) 442-3411

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1067286Retina Associates of Western Ny PC160 Sawgrass Drive, Suite 200, Rochester, NY 14620Certificate of waiverApr 15, 2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000342 NY Part B Supplier - Clinic/Group Practice 9739106295 Receives reassigned benefits from 6 practitioners
Practice locations: Canandaigua, NY; Horseheads, NY; Rochester, NY

National Provider Directory

National Provider Directory

Locations

39 Washington Ave
Batavia, NY 14020
Phone (585) 343-2480

32 N Main St
Canandaigua, NY 14424
Phone (585) 442-3411

3345 Chambers Rd
Ste 11
Horseheads, NY 14845
Phone (585) 442-3411

160 Sawgrass Dr
Ste 200
Rochester, NY 14620
Phone (585) 442-3411

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1295811560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SAWGRASS DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204655",
            "telephone_number": "585-442-3411",
            "fax_number": "585-442-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SAWGRASS DR STE 200",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204655",
            "telephone_number": "585-442-3411",
            "fax_number": "585-442-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Parrish St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241785",
            "country_code": "US",
            "telephone_number": "585-442-3411",
            "fax_number": "585-442-9550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 N Main St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241402",
            "country_code": "US",
            "telephone_number": "585-442-3411",
            "fax_number": "585-442-9550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3345 Chambers Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Horseheads",
            "state": "NY",
            "postal_code": "148451441",
            "country_code": "US",
            "telephone_number": "585-442-3411",
            "fax_number": "585-442-9550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF WESTERN NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-442-3411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.