Individual provider Active NPI

Alan Steven Rifkin

  • Optician
  • Rochester, NY
National Provider Identifier
1679917348
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
007911 Issued in NY
Practice address
6 Towpath TRL
Rochester, NY 14624-4552
Phone
(585) 478-3993
NPI assigned
Apr 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 007911 NY Primary

Addresses

Primary practice location

6 Towpath TRL
Rochester, NY 14624-4552

Mailing address

160 Greece Ridge Center Dr
Greece, NY 14626-2815
Phone (585) 227-6771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
007911NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
R.J.Visions, Inc Optician PastSince Aug 25, 2024 Accepting new patients

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": "1366761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1679917348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GREECE RIDGE CENTER DR",
            "city": "GREECE",
            "state": "NY",
            "postal_code": "146262815",
            "telephone_number": "585-227-6771",
            "fax_number": "585-227-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TOWPATH TRL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244552",
            "telephone_number": "585-478-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFKIN",
        "first_name": "ALAN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-24",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.