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
- 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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
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 and National Provider Directory roles.
-
- Optometrist
- Syracuse, NY
- NPI 1750358826
-
- Eyewear Supplier
- Attleboro, MA
- NPI 1730635582
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.