John S Ray, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NYTW006745 Issued in NY

Practice address

1210 Driving Park Ave
Newark, NY 14513-1057

Phone

(585) 394-2020

Fax

(585) 394-9261

NPI assigned

Jan 11, 2007

Last updated

Sep 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ophthalmic Associates of Fort Washington

  • Ophthalmology Physician
  • Fort Washington, PA
  • NPI 1790744688
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1669522900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-331-8921",
            "fax_number": "315-331-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 West St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241787",
            "country_code": "US",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "784 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562092",
            "country_code": "US",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "JOHN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NYTW006745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02649705",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnrayod@theeyecarecenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR e-mail address for secure sharing of patient information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 West St",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144241787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnrayod@theeyecarecenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR e-mail address for secure sharing of patient information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "784 Pre Emption Rd",
            "city": "Geneva",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144562092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnrayod@theeyecarecenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR e-mail address for secure sharing of patient information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "784 Pre Emption Rd",
            "city": "Geneva",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144562092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol A Quagliata, RN
• Brian Robert Ragne, PHARMD
• Poonam Ramsdell, PA-C
• Lori Jean Randolph, LPN
• Kerra Rank
• Susannah Reafsnyder
• Rowena Ann Redmond, PNP GNP
• Nancie J Reese, PA
• Renee N Regis, OTR/L
• Yuliya S Rehab, MD

• Optometrist in Newark, NY
• Providers in Newark, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.