Individual provider Active NPI

Edward G Sachs, OD

  • Optometrist
  • Rochester, NY
National Provider Identifier
1508827221
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T0033951 Issued in NY
Practice address
3349 Monroe Ave
Pearle Vision
Rochester, NY 14618-5513
Phone
(585) 381-1616
Fax
(585) 381-0718
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T0033951 NY Primary

Addresses

Primary practice location

3349 Monroe Ave
Pearle Vision
Rochester, NY 14618-5513

Mailing address

3349 Monroe Ave
Pearle Vision
Rochester, NY 14618-5513
Phone (585) 381-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T0033951NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1508827221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 MONROE AVE",
            "address_2": "PEARLE VISION",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185513",
            "telephone_number": "585-381-1616",
            "fax_number": "585-381-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 MONROE AVE",
            "address_2": "PEARLE VISION",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185513",
            "telephone_number": "585-381-1616",
            "fax_number": "585-381-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHS",
        "first_name": "EDWARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T0033951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.