Individual provider Active NPI

Lisa Chute, OD

  • Optometrist
  • Fairport, NY
National Provider Identifier
1639690712
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ORT008586 Issued in NY
Practice address
25 Parce Ave Ste 110
Fairport, NY 14450-1686
Phone
(585) 204-2460
Fax
(585) 204-2491
NPI assigned
Jun 29, 2017
Last updated
Feb 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ORT008586 NY Primary

Addresses

Primary practice location

25 Parce Ave Ste 110
Fairport, NY 14450-1686

Mailing address

25 Parce Ave Ste 110
Fairport, NY 14450-1686
Phone (585) 204-2460

Other practice location 1

20 Allens Creek Rd
Rochester, NY 14618-3253
Phone (585) 461-6225

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
I20170830002055 NY Practitioner - Optometry 7214200062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Allens Creek Family Optometry PLLCGroup PAC ID 3173840410, 3 clinicians

Practice addresses (Care Compare)

20 Allens Creek Rd
Suite 1
Rochester, NY 14618-3253
Phone (585) 461-6225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ORT008586NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
CVG Optometry, LLC Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Sightrite Inc Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Allens Creek Family Optometry, PLLC Optometrist CurrentSince Jan 17, 2026 Accepting new patients
Lisa Marie Chute Optometry PLLC Optometrist CurrentSince May 18, 2025 Accepting new patients
Herald Square Eyecare Optometry, P.C. Optometrist Past Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

25 Parce Ave
Ste 110
Fairport, NY 14450
Phone (585) 204-2460

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

20 Allens Creek Rd
Ste 1
Rochester, NY 14618
Phone (585) 461-6225

3173 Chili Ave
Ste 400
Rochester, NY 14624
Phone (585) 889-0750

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 5

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1639690712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 PARCE AVE STE 110",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501686",
            "telephone_number": "585-204-2460",
            "fax_number": "585-204-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PARCE AVE STE 110",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501686",
            "telephone_number": "585-204-2460",
            "fax_number": "585-204-2491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Allens Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146183253",
            "country_code": "US",
            "telephone_number": "585-461-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUTE",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT008586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.