Individual provider Active NPI

Raymond M Lester, OD

  • Optometrist
  • Rochester, NY
National Provider Identifier
1528490083
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007974 Issued in NY
Practice address
1671 Penfield Rd
Rochester, NY 14625-2568
Phone
(585) 586-6524
Fax
(585) 586-9719
NPI assigned
Aug 6, 2013
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007974 NY Primary

Addresses

Primary practice location

1671 Penfield Rd
Rochester, NY 14625-2568

Mailing address

555 N Winton Rd
Rochester, NY 14610-1236
Phone (585) 586-6524

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
I20150417000483 NY Practitioner - Optometry 4587886635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
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)

555 N Winton Rd
Rochester, NY 14610-1236
Phone (585) 586-6524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5002MAMDClinical Psychologist
TUV007974NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary a Kazdan OD PLLC Optometrist CurrentSince Apr 24, 2015 Accepting new patients
Rochester General Hospital Past Accepting new patients
Katelyn E. Vilasi Optometry, PLLC Optometrist PastSince Dec 18, 2022 Accepting new patients
Rsa Optical LLC Optometrist Past Accepting new patients

Locations

1671 Penfield Rd
Rochester, NY 14625
Phone (585) 203-1948

555 N Winton Rd
Rochester, NY 14610
Phone (585) 586-6524

Interoperability endpoints

  • Direct secure messaging: raymondlesterod@drkazdan2020.direct.eyemdemr.com

Organizations & group practices 4

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": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1528490083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N WINTON RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101236",
            "telephone_number": "585-586-6524",
            "fax_number": "585-586-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252568",
            "telephone_number": "585-586-6524",
            "fax_number": "585-586-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.