Organization Active NPI

Mary E. Vadas, OD, LLC

  • Eyewear Supplier
  • Spencerport, NY
National Provider Identifier
1699986240
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MARY E. VADAS, OD, LLC
Practice address
2277 S Union St
Spencerport, NY 14559-2225
Phone
(585) 349-3300
Fax
(585) 349-3336
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Mary Elizabeth Vadas, O.D.NPI 1285692103
Title
Owner
Phone
(585) 349-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NY Primary

Addresses

Primary practice location

2277 S Union St
Spencerport, NY 14559-2225

Mailing address

2277 S Union St
Spencerport, NY 14559-2225
Phone (585) 349-3300

Other names 1

  • Towne & Country Eyecare Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930091364 NY DME Supplier - Physician - Optometrist 7719008929 Practice locations: Spencerport, NY
O20110822000013 NY Part B Supplier - Clinic/Group Practice 7719008929 Receives reassigned benefits from 4 practitioners
Practice locations: Spencerport, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Towne & Country Eyecare Associates2277 S Union St, Spencerport, NY 14559-2225(585) 349-3300 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Jan 3, 2000

National Provider Directory

National Provider Directory
Tax ID family
Mary E Vadas OD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2277 S Union St
Spencerport, NY 14559
Phone (585) 349-3300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1699986240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592225",
            "telephone_number": "585-349-3300",
            "fax_number": "585-349-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592225",
            "telephone_number": "585-349-3300",
            "fax_number": "585-349-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E. VADAS, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "VADAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-349-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towne & Country Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spencerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.