Individual provider Active NPI

Perry Halvatzis, OD

  • Optometrist
  • Pittsford, NY
National Provider Identifier
1528099694
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006299 Issued in NY
Practice address
500 Kreag Rd
Pittsford, NY 14534-3705
Phone
(585) 249-8300
Fax
(585) 249-8361
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006299 NY Primary

Addresses

Primary practice location

500 Kreag Rd
Pittsford, NY 14534-3705

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 249-8300

Other practice location 1

6353 Ridge Rd
Sodus, NY 14551-9743
Phone (315) 483-8300

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
I20101129001027 NY Practitioner - Optometry 7315133626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

500 Kreag Rd
Pittsford, NY 14534-3705
Phone (585) 249-8300

6353 Ridge Rd
Sodus, NY 14551-9743
Phone (315) 483-8300

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006299NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Aug 1, 2019 Accepting new patients

Locations

39 Washington Ave
Batavia, NY 14020
Phone (585) 343-2480

500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

6353 Ridge Rd
Sodus, NY 14551
Phone (315) 483-8300

Interoperability endpoints

  • Direct secure messaging: phalvatzis375664@direct.rochesterregional.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1528099694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-249-8300",
            "fax_number": "585-249-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KREAG RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343705",
            "telephone_number": "585-249-8300",
            "fax_number": "585-249-8361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6353 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sodus",
            "state": "NY",
            "postal_code": "145519743",
            "country_code": "US",
            "telephone_number": "315-483-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALVATZIS",
        "first_name": "PERRY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.