Active NPI
Paul Michael Pronti
- Optometrist
- Buffalo, NY
National Provider Identifier
1720051568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV0047371
- Practice address
- 280 Delaware Ave
Buffalo, NY 14202-1801 - Phone
- (716) 854-1621
- Fax
- (716) 854-1623
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV0047371 | NY | Primary |
Addresses
Primary practice location
280 Delaware Ave
Buffalo, NY 14202-1801
Mailing address
280 Delaware Ave
Buffalo, NY 14202-1801
Phone (716) 854-1621
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG6673 | Other | NM | RAILROAD MEDICARE GROUP |
| 410024327 | Other | NY | RAILROAD MEDICARE PTAN |
Other names 1
- Dr. Paul M Pronti
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV0047371 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Sher Optical Co of Buffalo Ny Inc | Optometrist | Past | 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.
-
- Optometrist
- West Seneca, NY
- NPI 1073802104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575849600000",
"number": "1720051568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021801",
"telephone_number": "716-854-1621",
"fax_number": "716-854-1623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142021801",
"telephone_number": "716-854-1621",
"fax_number": "716-854-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRONTI",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2019-12-09",
"certification_date": "2019-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV0047371",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DG6673",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "410024327",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "PRONTI",
"middle_name": "M",
"prefix": "DR.",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.