Celesse Vazquez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ORT011035-01 Issued in NY

Practice address

2142 Penfield Rd
Penfield, NY 14526-1736

Phone

(585) 377-7090

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2024

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)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cary a Kazdan OD PLLC

  • Optometrist
  • Rochester, NY
  • NPI 1972726321
  Medicare reassignment Care Compare group NPD
• Dr. Verrone and Dr. Peters, O.D., P.C.

  • Optometrist
  • Penfield, NY
  • NPI 1427008671
  NPD
• Dr. Verrone and Dr. Peters, O.D., P.C.

  • Optometrist
  • Penfield, NY
  • NPI 1568685113
  NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1508698069",
    "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": "145261736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 PENFIELD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261736",
            "telephone_number": "585-377-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "CELESSE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT011035-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Tyler, LMHC NBCC
• University Orthopaedic Associates of Rochester
• Upstate Medical Equipment
• Upstate Music Therapy Center, LLC
• William A Vaules, M.D.
• Rachel Vazquez
• Stefanie Ventura
• Justin Joseph Verrone, O.D.
• Elissa Marie Viele, LMSW
• Elena Vinogradova

• Optometrist in Penfield, NY
• Providers in Penfield, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.