Individual provider Active NPI

Justin Joseph Verrone, O.D.

  • Optometrist
  • Penfield, NY
National Provider Identifier
1497706568
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006260 Issued in NY
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1568685113OtherNYMEDICARE NSC
161274164OtherNYUNITED HEALTH
106339CSOtherNYPREFERRED CARE
P010006260OtherNYDOCTORS HEALTH
P010006260OtherNYBLUE CHOICE
P010106260OtherNYBLUE SHIELD
161274164OtherNYHEALTH NOW
7432127OtherNYAETNA

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
I20100917000136 NY Practitioner - Optometry 9335271196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006260NYMDOptometrist
VUT006260NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Verrone and Dr. Peters, O.D., P.C. Optometrist CurrentSince Mar 19, 2023 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.

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

Verify at the official NPI Registry.