Krista Jagoda, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

006930 Issued in NY

Practice address

1015 Ridge Rd
Webster, NY 14580-2907

Phone

(585) 872-1300

Fax

(585) 872-5397

NPI assigned

Feb 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians and Surgeons of Western New York PLLCGroup PAC ID 0840240941, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Physicians and Surgeons of Western New York PLLC

  • Eyewear Supplier
  • Rochester, NY
  • NPI 1427123249

  Optometrist

  Medicare reassignment NPD
• Eye Physicians and Surgeons of Western New York PLLC

  • Ophthalmology Physician
  • Webster, NY
  • NPI 1518032333

  Optometrist

  Medicare reassignment NPD
• Eye Physicians and Surgeons of Western New York PLLC

  • Eyewear Supplier
  • Rochester, NY
  • NPI 1821178922
  NPD (past)
• Clovernook Center for the Blind and Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • Lawrenceburg, IN
  • NPI 1831275882
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1790751618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802907",
            "telephone_number": "585-872-1300",
            "fax_number": "585-872-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802907",
            "telephone_number": "585-872-1300",
            "fax_number": "585-872-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGODA",
        "first_name": "KRISTA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Leigh Immesoete, R.N.
• Internal Medicine Associates of Webster,P.C.
• Sarah Irons, MD
• Wytasha Jackson, LPN
• Michelle L Jacobson, RN
• James F. Gleason, DDS, PC
• Rose M James, R.N.
• Priya Jangbari, DDS
• Erin Jannetta, PHARM D
• Faiza Javaid, DPM

• Optometrist in Webster, NY
• Providers in Webster, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.
• 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.