Active NPI
Stephanie Pei-Ying Su, O.D.
- Optometrist
- Canandaigua, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV-007021-1
- Practice address
- 275 Parrish St
Canandaigua, NY 14424-1785 - Phone
- (585) 394-0696
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- 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 | TUV-007021-1 | NY | Primary |
Addresses
Primary practice location
275 Parrish St
Canandaigua, NY 14424-1785
Mailing address
275 Parrish St
Canandaigua, NY 14424-1785
Phone (585) 394-0696
Other practice location 1
500 Kreag Rd
Pittsford, NY 14534-3705
Phone (585) 249-8300
Other practice location 2
1338 E Ridge Rd
Rochester, NY 14621-2018
Phone (585) 544-6680
Other practice location 3
2277 S Union St
Spencerport, NY 14559-2225
Phone (585) 349-3300
Other practice location 4
169 Rue De Vl
Rochester, NY 14618-5619
Phone (585) 271-2990
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122
275 Parrish St
Canandaigua, NY 14424-1785
Phone (585) 394-0696
500 Kreag Rd
Pittsford, NY 14534-3705
Phone (585) 249-8300
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV-007021-1 | NY | MD | Optometrist |
| 4551 | MA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Mary E. Vadas, OD, LLC | Optometrist | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| V & G Vision, Inc. | Optometrist | Current | Accepting new patients |
| New York Optometry Professional PLLC | Optometrist | Current | Accepting new patients |
| Eriah, Inc | Current | Accepting new patients | |
| Sightrite Inc | Optometrist | Current | Accepting new patients |
| Mary E Vadas, OD, LLC | Optometrist | Past | Accepting new patients |
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
| Empire Vision Center, Inc | Past | Accepting new patients | |
| Depaolis&Ryan | Past | Accepting new patients |
Locations
275 Parrish St
Ste C
Canandaigua, NY 14424
275 Parrish St
Canandaigua, NY 14424
Phone (585) 393-0554
500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1425 Jefferson Rd
Rochester, NY 14623
Phone (585) 334-0200
1338 E Ridge Rd
Rochester, NY 14621
Phone (585) 544-2003
75 Main St
Sidney, NY 13838
Phone (607) 563-2442
2277 S Union St
Spencerport, NY 14559
Phone (585) 349-3300
3455 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 722-2020
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- Canandaigua, NY
- NPI 1396913752
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Optometrist
- Sidney, NY
- NPI 1598470544
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Optometrist
- Brooklyn, NY
- NPI 1336562644
-
- Optometrist
- Rochester, NY
- NPI 1346684230
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Eyewear Supplier
- Rochester, NY
- NPI 1992827687
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Optometrist
- Spencerport, NY
- NPI 1760530091
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1447323795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 PARRISH ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241785",
"telephone_number": "585-394-0696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 PARRISH ST",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241785",
"telephone_number": "585-394-0696"
}
],
"practiceLocations": [
{
"address_1": "500 Kreag Rd",
"address_purpose": "LOCATION",
"city": "Pittsford",
"state": "NY",
"postal_code": "145343705",
"country_code": "US",
"telephone_number": "585-249-8300",
"fax_number": "585-249-8361",
"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": "2277 S Union St",
"address_purpose": "LOCATION",
"city": "Spencerport",
"state": "NY",
"postal_code": "145592225",
"country_code": "US",
"telephone_number": "585-349-3300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Rue De Vl",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146185619",
"country_code": "US",
"telephone_number": "585-271-2990",
"fax_number": "585-271-6321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SU",
"first_name": "STEPHANIE",
"middle_name": "PEI-YING",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV-007021-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.