Active NPI
Elizabeth Jennifer Robertson
- Optician
- Rochester, NY
National Provider Identifier
1326208026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 008815-1
- Practice address
- 1295 Portland Ave
Suite 1
Rochester, NY 14621-2731 - Phone
- (585) 544-3430
- Fax
- (585) 544-3473
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- 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 | 008815-1 | NY | Primary |
Addresses
Primary practice location
1295 Portland Ave
Suite 1
Rochester, NY 14621-2731
Mailing address
1295 Portland Ave
Suite 1
Rochester, NY 14621-2731
Phone (585) 544-3430
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 |
|---|---|---|---|
| 008815-1 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaw Opticians LLC | Optician | Past | Accepting new patients |
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": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1326208026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 PORTLAND AVE",
"address_2": "SUITE 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146212731",
"telephone_number": "585-544-3430",
"fax_number": "585-544-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 PORTLAND AVE",
"address_2": "SUITE 1",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146212731",
"telephone_number": "585-544-3430",
"fax_number": "585-544-3473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "ELIZABETH",
"middle_name": "JENNIFER",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "008815-1",
"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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.