Active NPI
David L Shaff, OD
- Optometrist
- East Rochester, NY
National Provider Identifier
1407824261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV003038
- Practice address
- 533 W Commercial St
East Rochester, NY 14445-2276 - Phone
- (585) 586-6882
- NPI assigned
- Mar 9, 2006
- Last updated
- May 2, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV003038 | NY | Primary |
Addresses
Primary practice location
533 W Commercial St
East Rochester, NY 14445-2276
Mailing address
533 W Commercial St
East Rochester, NY 14445-2276
Phone (585) 586-6882
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161168030 | Other | UNITED HEALTH CARE | |
| 00091163900 | Other | HEALTH NOW | |
| 161168030 | Other | EMPIRE UHC EMPIRE | |
| 101433CS | Other | NY | PREFERRED CARE |
| 161168030 | Other | SIDNEY HILLMAN | |
| 161168030 | Other | WORKERS COMP | |
| P010003038 | Other | NY | BLUE CHOICE |
| 161168030 | Other | DOCTORS HEALTH PLAN POMCO | |
| P010003038 | Other | MONROE PLAN BL CH OPT CHI | |
| 161168030 | Other | TRICARE | |
| P010003038 | Other | BCBS EXCELLUS | |
| 161168030 | Other | GHI GROUP HEALTH INCORPOR | |
| 7700447 | Other | MVP SELECT CARE | |
| 410043022 | Other | RAILROAD MEDICARE | |
| 101933CS | Other | PREFERRED CARE OPTION |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV003038 | NY | MD | Optometrist |
| 003038 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard R Stout MD PLLC | Past | Accepting new patients | |
| Harold S Ross MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1407824261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 W COMMERCIAL ST",
"city": "EAST ROCHESTER",
"state": "NY",
"postal_code": "144452276",
"telephone_number": "585-586-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 W COMMERCIAL ST",
"city": "EAST ROCHESTER",
"state": "NY",
"postal_code": "144452276",
"telephone_number": "585-586-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFF",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV003038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "161168030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "00091163900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE UHC EMPIRE",
"identifier": "161168030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "101433CS",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIDNEY HILLMAN",
"identifier": "161168030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "161168030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010003038",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORS HEALTH PLAN POMCO",
"identifier": "161168030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONROE PLAN BL CH OPT CHI",
"identifier": "P010003038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "161168030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS EXCELLUS",
"identifier": "P010003038",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI GROUP HEALTH INCORPOR",
"identifier": "161168030",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP SELECT CARE",
"identifier": "7700447",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "410043022",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE OPTION",
"identifier": "101933CS",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in East Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.