Individual provider Active NPI

Marc Deeley, OD

  • Optometrist
  • Pittsford, NY
National Provider Identifier
1346723582
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009188 Issued in NY
Practice address
500 Kreag Rd
Pittsford, NY 14534-3705
Phone
(585) 249-8300
Fax
(585) 249-8388
NPI assigned
Sep 13, 2018
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009188 NY Primary

Addresses

Primary practice location

500 Kreag Rd
Pittsford, NY 14534-3705

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 249-8300

Other practice location 1

1105 Driving Park Ave
Newark, NY 14513-1069
Phone (315) 331-5721

Other practice location 2

2345 Ridgeway Ave
Rochester, NY 14626-4111
Phone (585) 723-6070

Other practice location 3

1338 E Ridge Rd
Rochester, NY 14621-2018
Phone (585) 544-6680

Other practice location 4

30 Washington Ave
Batavia, NY 14020-2034
Phone (585) 409-2030

Other practice location 5

6353 Ridge Rd
Sodus, NY 14551-9743
Phone (315) 483-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002000371 NY Practitioner - Optometry 2769710458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 922-5033

500 Kreag Rd
Pittsford, NY 14534-3705
Phone (585) 249-8300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009188NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Aug 31, 2020 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2024 Accepting new patients
Rochester General Hospital CurrentSince Jan 1, 2024 Accepting new patients
Western New York Medical Practice P.C CurrentSince Aug 31, 2020 Accepting new patients

Locations

1105 Driving Park Ave
Newark, NY 14513
Phone (315) 331-5721

500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1338 E Ridge Rd
Rochester, NY 14621
Phone (585) 544-2003

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

2345 Ridgeway Ave
Rochester, NY 14626
Phone (585) 723-6070

6353 Ridge Rd
Sodus, NY 14551
Phone (315) 483-8300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1346723582",
    "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": "585-249-8300",
            "fax_number": "585-249-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KREAG RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343705",
            "telephone_number": "585-249-8300",
            "fax_number": "585-249-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131069",
            "country_code": "US",
            "telephone_number": "315-331-5721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264111",
            "country_code": "US",
            "telephone_number": "585-723-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1338 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212018",
            "country_code": "US",
            "telephone_number": "585-544-6680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140202034",
            "country_code": "US",
            "telephone_number": "585-409-2030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "DEELEY",
        "first_name": "MARC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.