Individual provider Active NPI

Emily Helena Gottschalk, OD

  • Optometrist
  • Pittsford, NY
National Provider Identifier
1639899958
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009803 Issued in NY
Practice address
500 Kreag Rd
Pittsford, NY 14534-3705
Phone
(585) 249-8300
Fax
(585) 249-8380
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005651 MI
Optometrist 152W00000X 009803 NY Primary

Addresses

Primary practice location

500 Kreag Rd
Pittsford, NY 14534-3705

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900

Other practice location 1

1124 S State St
Big Rapids, MI 49307-2256
Phone (231) 591-3762

Other practice location 2

2345 Ridgeway Ave
Rochester, NY 14626-4111
Phone (585) 723-6070

Other practice location 3

1338 E Ridge Rd
Rochester, NY 14621-2018
Phone (585) 544-6680

Other practice location 4

1455 E Ridge Rd
Rochester, NY 14621-2006
Phone (585) 922-4315

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
I20231227000974 NY Practitioner - Optometry 0547645376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Waterloo - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

2345 Ridgeway Ave
Rochester, NY 14626-4111
Phone (585) 723-6070

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009803NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Nov 18, 2023 Accepting new patients
Rochester General Hospital CurrentSince Nov 18, 2023 Accepting new patients
Rochester General Hospital CurrentSince Nov 18, 2023 Accepting new patients

Locations

500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300

1455 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-4103

2345 Ridgeway Ave
Rochester, NY 14626
Phone (585) 723-6070

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1338 E Ridge Rd
Rochester, NY 14621
Phone (585) 544-2003

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: egottschalk386845@direct.rochesterregional.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1639899958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900",
            "fax_number": "585-922-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 KREAG RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343705",
            "telephone_number": "585-249-8300",
            "fax_number": "585-249-8380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1124 S State St",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493072256",
            "country_code": "US",
            "telephone_number": "231-591-3762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264111",
            "country_code": "US",
            "telephone_number": "585-723-6070",
            "fax_number": "585-723-1837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1338 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212018",
            "country_code": "US",
            "telephone_number": "585-544-6680",
            "fax_number": "585-467-1445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1455 E Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212006",
            "country_code": "US",
            "telephone_number": "585-922-4315",
            "fax_number": "585-922-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTSCHALK",
        "first_name": "EMILY",
        "middle_name": "HELENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-02-14",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005651",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.