Active NPI
Shruti Pandya, O.D.
- Optometrist
- Penfield, NY
National Provider Identifier
1720166937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005450
- Practice address
- 2142 Penfield Rd
Penfield, NY 14526 - Phone
- (585) 377-7090
- Fax
- (585) 377-3155
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618001258 | VA | |
| Optometrist | 152W00000X | TUV005450 | NY | Primary |
Addresses
Primary practice location
2142 Penfield Rd
Penfield, NY 14526
Mailing address
2142 Penfield Rd
Penfield, NY 14526-1736
Phone (585) 377-7090
Other names 1
- Shruti Patel
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151106001722 | NY | Practitioner - Optometry | 0042380065 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005450 | NY | MD | Optometrist |
| 26NJ01443800 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Verrone and Dr. Peters, O.D., P.C. | Optometrist | Current | Accepting new patients |
| Louis E. Baskin, O.D. | Optometrist | Past | Accepting new patients |
Locations
2160 Penfield Rd
Ste 100
Penfield, NY 14526
Phone (585) 377-7090
2142 Penfield Rd
Penfield, NY 14526
Phone (585) 377-7090
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.
-
- Optometrist
- Penfield, NY
- NPI 1427008671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1720166937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261736",
"telephone_number": "585-377-7090",
"fax_number": "585-377-3155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "14526",
"telephone_number": "585-377-7090",
"fax_number": "585-377-3155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDYA",
"first_name": "SHRUTI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001258",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHRUTI",
"last_name": "PATEL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.