Individual provider Active NPI

Ashley Mills, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1770932147
Registry record updated Apr 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008423 Issued in NY
Practice address
10 Woodcrest Dr
Rochester, NY 14625
Phone
(607) 221-3656
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 008423 NY Primary

Addresses

Primary practice location

10 Woodcrest Dr
Rochester, NY 14625

Mailing address

10 Woodcrest Dr
Rochester, NY 14625-2121
Phone (607) 221-3656

Other practice location 1

2277 S Union St
Spencerport, NY 14559-2225
Phone (585) 349-3300

Other names 1

  • Ashley Verdon 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
I20160721000985 NY Practitioner - Optometry 5496048928 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008423NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E. Vadas, OD, LLC Optometrist CurrentSince Jun 14, 2016 Accepting new patients
Sightrite Inc Optometrist CurrentSince Jan 5, 2019 Accepting new patients
Mary E Vadas, OD, LLC Optometrist PastSince Jun 14, 2016 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

2277 S Union St
Spencerport, NY 14559
Phone (585) 349-3300

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 3

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1770932147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODCREST DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252121",
            "telephone_number": "607-221-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODCREST DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "607-221-3656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2277 S Union St",
            "address_purpose": "LOCATION",
            "city": "Spencerport",
            "state": "NY",
            "postal_code": "145592225",
            "country_code": "US",
            "telephone_number": "585-349-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "VERDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.