Individual provider Active NPI

Jeffrey Calhoun, O.D.

  • Low Vision Rehabilitation Optometrist
  • Williamsville, NY
National Provider Identifier
1700878006
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
ORT006035-01 Issued in NY
Practice address
5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888
Phone
(716) 631-9970
Fax
(716) 631-8809
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X ORT006035-01 NY Primary

Addresses

Primary practice location

5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888

Mailing address

5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888
Phone (716) 631-9970

Other identifiers 1

IdentifierTypeStateIssuer
02534334MedicaidNY

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
I20040409000499 NY Practitioner - Optometry 7719971084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calhoun Eye Care and Optometry PCGroup PAC ID 3173538683, 4 clinicians

Practice addresses (Care Compare)

5488 Sheridan Dr
Suite 300
Williamsville, NY 14221-3888
Phone (716) 631-9970

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6035NYMDAddiction (Substance Use Disorder) Counselor
ORT006035-01NYMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun Eye Care and Optometry PC Low Vision Rehabilitation CurrentSince Dec 20, 2003 Accepting new patients

Locations

5782 Main St
Williamsville, NY 14221
Phone (716) 631-9970

6622 Main St
Ste 7
Williamsville, NY 14221
Phone (716) 631-9970

5488 Sheridan Dr
Ste 300
Williamsville, NY 14221
Phone (716) 631-9970

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1700878006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5488 SHERIDAN DR STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213888",
            "telephone_number": "716-631-9970",
            "fax_number": "716-631-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 SHERIDAN DR STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213888",
            "telephone_number": "716-631-9970",
            "fax_number": "716-631-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "ORT006035-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02534334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.