Active NPI
Justin Joseph Verrone, O.D.
- Optometrist
- Penfield, NY
National Provider Identifier
1497706568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006260
- Practice address
- 2142 Penfield Rd
Penfield, NY 14526 - Phone
- (585) 377-7090
- Fax
- (585) 377-3155
- NPI assigned
- May 13, 2006
- Last updated
- Mar 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT006260 | NY | |
| Optometrist | 152W00000X | TUV006260 | NY | Primary |
Addresses
Primary practice location
2142 Penfield Rd
Penfield, NY 14526
Mailing address
2142 Penfield Rd
Penfield, NY 14526
Phone (585) 377-7090
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568685113 | Other | NY | MEDICARE NSC |
| 161274164 | Other | NY | UNITED HEALTH |
| 106339CS | Other | NY | PREFERRED CARE |
| P010006260 | Other | NY | DOCTORS HEALTH |
| P010006260 | Other | NY | BLUE CHOICE |
| P010106260 | Other | NY | BLUE SHIELD |
| 161274164 | Other | NY | HEALTH NOW |
| 7432127 | Other | NY | AETNA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100917000136 | NY | Practitioner - Optometry | 9335271196 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006260 | NY | MD | Optometrist |
| VUT006260 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Verrone and Dr. Peters, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Dr Bruce R Hankin & Associates | Past | Accepting new patients |
Locations
2142 Penfield Rd
Penfield, NY 14526
Phone (585) 377-7090
2160 Penfield Rd
Ste 100
Penfield, NY 14526
Phone (585) 377-7090
Organizations & group practices 3
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.
-
dba Eyesite
- Durable Medical Equipment & Medical Supplies
- Penfield, NY
- NPI 1497978043
-
- Optometrist
- Penfield, NY
- NPI 1568685113
-
- Optometrist
- Penfield, NY
- NPI 1427008671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1497706568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "14526",
"telephone_number": "585-377-7090",
"fax_number": "585-377-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "14526",
"telephone_number": "585-377-7090",
"fax_number": "585-377-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRONE",
"first_name": "JUSTIN",
"middle_name": "JOSEPH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT006260",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "1568685113",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "161274164",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "106339CS",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORS HEALTH",
"identifier": "P010006260",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010006260",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "P010106260",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW",
"identifier": "161274164",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7432127",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.