Individual provider Active NPI

Paul C Hanlon, OD

  • Optometrist
  • Rochester, NY
National Provider Identifier
1689725319
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003238-1 Issued in NY
Practice address
2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1360
Phone
(585) 328-0153
Fax
(585) 328-0158
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003238-1 NY Primary

Addresses

Primary practice location

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1360

Mailing address

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1360
Phone (585) 328-0153

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
I20070523000159 NY Practitioner - Optometry 9931206117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steve B. Park MD PCGroup PAC ID 0446219372, 14 clinicians

Practice addresses (Care Compare)

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1367
Phone (585) 328-0153

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV003238-1NYMDOptometrist
003238NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Steve B. Park, MD PC Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Steve B. Park, MD PC Optometrist CurrentSince Jan 1, 2007 Accepting new patients

Locations

2300 Buffalo Rd
Bldg 700
Rochester, NY 14624
Phone (585) 254-2260

Interoperability endpoints

  • Direct secure messaging: phanlon@cornerstoneeye.medentdirect.com

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1689725319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241360",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241360",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLON",
        "first_name": "PAUL",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003238-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.