Organization Active NPI

Eye Care and Vision Associates Ophthalmology, LLP

  • Eyewear Supplier
  • Orchard Park, NY
National Provider Identifier
1710100581
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY, LLP
Practice address
3712 Southwestern Blvd
Orchard Park, NY 14127-1720
Phone
(716) 648-5329
Fax
(716) 648-3815
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Authorized official

Name
Mrs. Mary Pat Rozeski
Title
Office Manager
Phone
(716) 648-5329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

3712 Southwestern Blvd
Orchard Park, NY 14127-1720

Mailing address

3712 Southwestern Blvd
Orchard Park, NY 14127-1720
Phone (716) 648-5329

Other identifiers 1

IdentifierTypeStateIssuer
01799206MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050311000595 NY Part B Supplier - Clinic/Group Practice 1456305408 Receives reassigned benefits from 9 practitioners
Practice locations: Buffalo, NY; Hamburg, NY; Niagara Falls, NY; Orchard Park, NY; Williamsville, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2007847Eye Care & Vision Associates Ophthalmology LLP3712 Southwestern Boulevard, Orchard Park, NY 14127Certificate of waiverMar 13, 2027

National Provider Directory

National Provider Directory

Locations

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

6917 Plaza Dr
Niagara Falls, NY 14304
Phone (716) 298-1212

3712 Southwestern Blvd
Orchard Park, NY 14127
Phone (716) 631-8888

Practitioners & affiliated clinicians

Practitioners 11

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1710100581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271720",
            "telephone_number": "716-648-5329",
            "fax_number": "716-648-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271720",
            "telephone_number": "716-648-5329",
            "fax_number": "716-648-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE AND VISION ASSOCIATES OPHTHALMOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "ROZESKI",
        "authorized_official_first_name": "MARY PAT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "716-648-5329",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01799206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.