Active NPI
Paul E. Harvey, OD
- Optometrist
- Canandaigua, NY
National Provider Identifier
1669490645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT005171
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5171 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| VUT005171 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eriah, Inc | Current | 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.
-
- Eyewear Supplier
- Canandaigua, NY
- NPI 1396913752
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.