Craig F Willoth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

002863 Issued in NY

Practice address

1338 E Ridge Rd
Rochester, NY 14621-2018

Phone

(585) 544-6680

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1336174747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-544-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212018",
            "telephone_number": "585-544-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6353 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sodus",
            "state": "NY",
            "postal_code": "145519743",
            "country_code": "US",
            "telephone_number": "315-483-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Kreag Road",
            "address_purpose": "LOCATION",
            "city": "Pittsford",
            "state": "NY",
            "postal_code": "14534",
            "country_code": "US",
            "telephone_number": "585-249-8361",
            "fax_number": "585-249-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLOTH",
        "first_name": "CRAIG",
        "middle_name": "F",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "002863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Willix
• Elizabeth Rose Willman, MD
• Alexandra Willmes, BA
• David Arthur Willome, RPH
• Donna M Willome, NP
• Shelby Willoughby, MSW
• Edward P Willow, MD, MS
• Emily Ertem Wills, NP
• Sandra R Willsey
• Chloe Willson

• Optometrist in Rochester, NY
• Providers in Rochester, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.