Active NPI
Goodwill Vision Enterprises Inc.
- Low Vision Occupational Therapist
- Rochester, NY
National Provider Identifier
1629961263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- Legal business name
- GOODWILL VISION ENTERPRISES INC.
- Practice address
- 500 Clinton Ave S
Rochester, NY 14620-1105 - Phone
- (585) 402-2059
- Fax
- (585) 510-2437
- NPI assigned
- Jun 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jo Elizabeth Rath
- Title
- Director of Vision Services
- Phone
- (585) 402-2059
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | |||
| Low Vision Occupational Therapy Assistant | 224ZL0004X | |||
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | |||
| Orientation and Mobility Training Rehabilitation Counselor | 225CX0006X | |||
| Occupational Therapist | 225X00000X | |||
| Environmental Modification Occupational Therapist | 225XE0001X | |||
| Gerontology Occupational Therapist | 225XG0600X | |||
| Low Vision Occupational Therapist | 225XL0004X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X |
Addresses
Primary practice location
500 Clinton Ave S
Rochester, NY 14620-1105
Mailing address
422 Clinton Ave S
Rochester, NY 14620-1103
Phone (585) 402-2059
Other names 1
- Association for the Blind and Visually Impaired - Goodwill Industries
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Association Blindvisua
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Rochester, NY
- NPI 1962801878
Locations
422 Clinton Ave S
Rochester, NY 14620
Phone (585) 232-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Rochester, NY
- NPI 1689351835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757980800000",
"number": "1629961263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 CLINTON AVE S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201103",
"telephone_number": "585-402-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CLINTON AVE S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146201105",
"telephone_number": "585-402-2059",
"fax_number": "585-510-2437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL VISION ENTERPRISES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A",
"authorized_official_last_name": "RATH",
"authorized_official_first_name": "JO",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "DIRECTOR OF VISION SERVICES",
"authorized_official_telephone_number": "585-402-2059"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "224ZL0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant, Low Vision",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CA2400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "225CX0006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor, Orientation and Mobility Training Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XE0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Environmental Modification",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Low Vision",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Association for the Blind and Visually Impaired - Goodwill Industries",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Sep 16, 2025; 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.