Individual provider Active NPI

Cary Alan Kazdan, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1487634150
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
UT005157 Issued in NY
Practice address
1671 Penfield Rd
Rochester, NY 14625-2568
Phone
(585) 586-6524
Fax
(585) 586-9719
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X UT005157 NY Primary

Addresses

Primary practice location

1671 Penfield Rd
Rochester, NY 14625-2568

Mailing address

555 N Winton Rd
Rochester, NY 14610-1236
Phone (585) 586-6524

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
I20120113000079 NY Practitioner - Optometry 6002899028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary a Kazdan OD PLLCGroup PAC ID 7416930433, 3 clinicians

Practice addresses (Care Compare)

555 N Winton Rd
Rochester, NY 14610-1236
Phone (585) 586-6524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
UT005157NYMDOptometrist
005157NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary a Kazdan OD PLLC Optometrist CurrentSince May 1, 1990 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

1671 Penfield Rd
Rochester, NY 14625
Phone (585) 586-6524

555 N Winton Rd
Rochester, NY 14610
Phone (585) 586-6524

24 West Ave
Spencerport, NY 14559
Phone (585) 352-1960

Interoperability endpoints

  • Direct secure messaging: carykazdanod@drkazdan2020.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1487634150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WINTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101236",
            "telephone_number": "585-586-6524",
            "fax_number": "585-586-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252568",
            "telephone_number": "585-586-6524",
            "fax_number": "585-586-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZDAN",
        "first_name": "CARY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT005157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.