Active NPI
University of Rochester Glaucoma Services
- Ophthalmology Physician
- Rochester, NY
National Provider Identifier
1669620415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- UNIVERSITY OF ROCHESTER GLAUCOMA SERVICES
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-0001 - Phone
- (585) 273-3937
- NPI assigned
- Sep 5, 2008
- Last updated
- Aug 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jill M Hetterich
- Title
- Senior Director, Finance, Urmfg
- Phone
- (585) 756-4008
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave Box 888
Rochester, NY 14642-0001
Phone (585) 784-9582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03090920 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
45 Liberty St
Ste 300
Batavia, NY 14020
Phone (585) 344-0933
1701 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 271-2990
6534 Anthony Dr
Ste B
Victor, NY 14564
Phone (585) 398-7545
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- New York, NY
- NPI 1588687750
-
- Ophthalmology Physician
- Rochester, NY
- NPI 1497758791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660176000000",
"number": "1669620415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 888",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-784-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-273-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF ROCHESTER GLAUCOMA SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A",
"authorized_official_last_name": "HETTERICH",
"authorized_official_first_name": "JILL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SENIOR DIRECTOR, FINANCE, URMFG",
"authorized_official_telephone_number": "585-756-4008"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03090920",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
- University of Rochester
- University of Rochester (Eastman Dental Center)
- University of Rochester Cornea Services
- University of Rochester Department of Psychiatry Clinical Group
- University of Rochester Emergency Associates Toxicology Group
- University of Rochester Internal Medicine Associates
- University of Rochester Medical Center
- University of Rochester Medical Center
- University of Rochester Medical Center
- University of Rochester Neuro-Ophthalmology Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.