Active NPI
Brittany Taylor Neudecker, OD
- Optometrist
- Liverpool, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- RT009917-01
- Practice address
- 3873 State Route 31 Ste 110
Liverpool, NY 13090-1489 - Phone
- (315) 652-5962
- NPI assigned
- May 25, 2023
- Last updated
- Apr 4, 2025
- 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 | RT009917-01 | NY | Primary |
Addresses
Primary practice location
3873 State Route 31 Ste 110
Liverpool, NY 13090-1489
Mailing address
3372 Longview Ter
Baldwinsville, NY 13027-4306
Phone (256) 596-0278
Other practice location 1
5653 E Circle Dr
Cicero, NY 13039-8741
Phone (315) 458-1216
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT009917-01 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Current | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Current | Accepting new patients |
Locations
2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241
5653 E Circle Dr
Cicero, NY 13039
Phone (315) 458-1216
560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090
3873 State Route 31
Ste 110
Liverpool, NY 13090
Phone (315) 652-5961
1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200
2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150
2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1497447486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3372 LONGVIEW TER",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130274306",
"telephone_number": "256-596-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3873 STATE ROUTE 31 STE 110",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901489",
"telephone_number": "315-652-5962"
}
],
"practiceLocations": [
{
"address_1": "5653 E Circle Dr",
"address_purpose": "LOCATION",
"city": "Cicero",
"state": "NY",
"postal_code": "130398741",
"country_code": "US",
"telephone_number": "315-458-1216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEUDECKER",
"first_name": "BRITTANY",
"middle_name": "TAYLOR",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-25",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "RT009917-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.