Individual provider Active NPI

Shruti Pandya, O.D.

  • Optometrist
  • Penfield, NY
National Provider Identifier
1720166937
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005450 Issued in NY
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

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20151106001722 NY Practitioner - Optometry 0042380065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TUV005450NYMDOptometrist
26NJ01443800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Verrone and Dr. Peters, O.D., P.C. Optometrist CurrentSince Mar 19, 2023 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.

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

Verify at the official NPI Registry.