Individual provider Active NPI

Paul E. Harvey, OD

  • Optometrist
  • Canandaigua, NY
National Provider Identifier
1669490645
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005171 Issued in NY
Practice address
215 S Main St
Canandaigua, NY 14424-2114
Phone
(585) 394-0696
Fax
(585) 394-0449
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT005171 NY Primary

Addresses

Primary practice location

215 S Main St
Canandaigua, NY 14424-2114

Mailing address

215 S Main St
Canandaigua, NY 14424-2114
Phone (585) 394-0696

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
I20050408000109 NY Practitioner - Optometry 6800843525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Eriah IncGroup PAC ID 7113974833, 3 clinicians

Practice addresses (Care Compare)

275 Parrish St
Canandaigua, NY 14424-1785
Phone (585) 394-0696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5171NYMDAddiction (Substance Use Disorder) Counselor
VUT005171NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eriah, Inc CurrentSince Nov 1, 2003 Accepting new patients

Locations

275 Parrish St
Canandaigua, NY 14424
Phone (585) 393-0554

215 S Main St
Canandaigua, NY 14424
Phone (585) 394-0696

275 Parrish St
Ste C
Canandaigua, NY 14424

Organizations & group practices 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1669490645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242114",
            "telephone_number": "585-394-0696",
            "fax_number": "585-394-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242114",
            "telephone_number": "585-394-0696",
            "fax_number": "585-394-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "PAUL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.