Active NPI
Retina Associates of Western Ny PC
- Retina Specialist (Ophthalmology) Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian P Connolly, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Retina Specialist (Ophthalmology) Physician | 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.
-
- Retina Specialist (Ophthalmology) Physician
- Rochester, NY
- NPI 1164401741
NY, Ophthalmology
-
- Retina Specialist (Ophthalmology) Physician
- Rochester, NY
- NPI 1922029503
NY, Ophthalmology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1067286 | Retina Associates of Western Ny PC | Certificate of waiver | Apr 15, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.