Organization Active NPI

O Gregory Zazulak, MD, PC

Doing business as finger lakes eye care

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1366611709
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
O GREGORY ZAZULAK, MD, PC
Doing business as
finger lakes eye care
Practice address
890 Westfall Rd
Suite E
Rochester, NY 14618-2610
Phone
(585) 473-6700
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Oleh Gregory Zazulak
Title
President
Phone
(585) 473-6700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Medical Specialty Clinic/Center 261QM2500X 178871 NY

Addresses

Primary practice location

890 Westfall Rd
Suite E
Rochester, NY 14618-2610

Mailing address

890 Westfall Rd
Suite E
Rochester, NY 14618-2610

Other names 1

  • finger lakes eye care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121017000000 NY Part B Supplier - Clinic/Group Practice 9739200767 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY; Clifton Springs, NY

National Provider Directory

National Provider Directory

Locations

890 Westfall Rd
Ste E
Rochester, NY 14618
Phone (585) 473-6700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1366611709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 WESTFALL RD",
            "address_2": "SUITE E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WESTFALL RD",
            "address_2": "SUITE E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182610",
            "telephone_number": "585-473-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O GREGORY ZAZULAK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "ZAZULAK",
        "authorized_official_first_name": "OLEH",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-473-6700"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "178871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "finger lakes eye care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.