Individual provider Active NPI

Stephanie Pei-Ying Su, O.D.

  • Optometrist
  • Canandaigua, NY
National Provider Identifier
1447323795
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-007021-1 Issued in NY
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

Updated by the provider on Apr 24, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070725000598 NY Practitioner - Optometry 5395768352 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
Eriah IncGroup PAC ID 7113974833, 3 clinicians

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 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
TUV-007021-1NYMDOptometrist
4551MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Oct 6, 2019 Accepting new patients
Rochester General Hospital CurrentSince Oct 6, 2019 Accepting new patients
Mary E. Vadas, OD, LLC Optometrist CurrentSince Nov 15, 2018 Accepting new patients
Rochester General Hospital CurrentSince Oct 6, 2019 Accepting new patients
V & G Vision, Inc. Optometrist CurrentSince Mar 24, 2022 Accepting new patients
New York Optometry Professional PLLC Optometrist CurrentSince Oct 6, 2023 Accepting new patients
Eriah, Inc CurrentSince May 11, 2016 Accepting new patients
Sightrite Inc Optometrist CurrentSince Jan 5, 2026 Accepting new patients
Mary E Vadas, OD, LLC Optometrist PastSince Nov 15, 2018 Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 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.

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

Verify at the official NPI Registry.