Organization Active NPI

Christine C. Platt M.D.

  • Ophthalmology Physician
  • Rochester, NY
National Provider Identifier
1386827038
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
160134 Issued in NY
Legal business name
CHRISTINE C. PLATT M.D.
Practice address
1 Lakeview Park
Rochester, NY 14613-1708
Phone
(585) 458-2020
Fax
(585) 458-3477
NPI assigned
Dec 17, 2007
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Mrs. Shanon A Ballard
Title
Billing MGR
Phone
(585) 458-2020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 160134 NY
Optometrist 152W00000X T0006558 NY
Ophthalmology Physician 207W00000X 160134 NY Primary

Addresses

Primary practice location

1 Lakeview Park
Rochester, NY 14613-1708

Mailing address

1 Lakeview Park
Rochester, NY 14613-1708
Phone (585) 458-2020

Other identifiers 10

IdentifierTypeStateIssuer
102473CROtherNYPREFERRED CARE
300238OtherNYWELLCARE
8897OtherNYBLUE SHIELD
5930359OtherNYAETNA
7477432OtherNYAETNA
P030006558OtherNYBLUE SHIELD
110109CSOtherNYPREFERRED CARE
01038619MedicaidNY
P010160134OtherNYBLUE CHOICE
P010006558OtherNYBLUE CHOICE

Other names 1

  • Lakeview Eyecare Other name

National Provider Directory

National Provider Directory

Locations

1 Lakeview Park
Rochester, NY 14613
Phone (585) 458-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1386827038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKEVIEW PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131708",
            "telephone_number": "585-458-2020",
            "fax_number": "585-458-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKEVIEW PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146131708",
            "telephone_number": "585-458-2020",
            "fax_number": "585-458-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE C. PLATT M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "SHANON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "585-458-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "160134",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T0006558",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "160134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102473CR",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "300238",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "8897",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5930359",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7477432",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "P030006558",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "110109CS",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01038619",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010160134",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010006558",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 11, 2009; 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.