Organization Active NPI

Rochester Eye Associates Physicians and Surgeons PC

  • Specialist
  • Rochester, NY
National Provider Identifier
1619906252
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROCHESTER EYE ASSOCIATES PHYSICIANS AND SURGEONS PC
Practice address
2301 Lac de Ville Blvd
Rochester, NY 14618-5646
Phone
(585) 244-0332
Fax
(585) 473-8833
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Robert L Olsen, MDNPI 1508826579
Title
President
Phone
(585) 244-0332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2301 Lac de Ville Blvd
Rochester, NY 14618-5646

Mailing address

2301 Lac de Ville Blvd
Rochester, NY 14618-5646
Phone (585) 244-0332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000874 NY Part B Supplier - Clinic/Group Practice 2062487614 Receives reassigned benefits from 9 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

1016 Elmgrove Rd
Rochester, NY 14624
Phone (585) 429-5330

10 S Pointe Lndg
Ste 230
Rochester, NY 14606
Phone (585) 244-0332

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1619906252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185646",
            "telephone_number": "585-244-0332",
            "fax_number": "585-473-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LAC DE VILLE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185646",
            "telephone_number": "585-244-0332",
            "fax_number": "585-473-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER EYE ASSOCIATES PHYSICIANS AND SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-244-0332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.