Michael Lee Raff, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

TUV 0004091-1 Issued in NY

Practice address

22 N Main St
Lower Suite
Brockport, NY 14420-1614

Phone

(585) 637-2121

Fax

(585) 637-7722

NPI assigned

Apr 19, 2006

Last updated

Jul 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Pennsylvania College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brockport Optometry, PC

  • Optometrist
  • Brockport, NY
  • NPI 1912112889
  Medicare reassignment Authorized official
• Brockport Optometry, PC

  • Eyewear Supplier
  • Brockport, NY
  • NPI 1437352192
  NPD Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1609831080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 FARM FIELD LN",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145342865",
            "telephone_number": "585-248-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N MAIN ST",
            "address_2": "LOWER SUITE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201614",
            "telephone_number": "585-637-2121",
            "fax_number": "585-637-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFF",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV 0004091-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Peterson, D.O.
• Kayleigh Anne Plumeau, DPT
• Amy Sue Pringle, LPN
• Matthew A Privett, FNP
• Jennifer Jeanne Proia-Cessna, OPTICIAN
• Julieann Meredith Ragone, DVM
• Rajendra Mehta and Leena Mehta Physicians PC
• Linda Ranalletti, RDH
• Timothy Rawcliffe
• Kourtney Reed, LMSW

• Corneal and Contact Management Optometrist in Brockport, NY
• Providers in Brockport, NY by specialty
• Corneal and Contact Management Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.