Individual provider Active NPI

Jason R. Hochreiter, OD

  • Optometrist
  • Webster, NY
National Provider Identifier
1790997419
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007485 Issued in NY
Practice address
603 Ridge Rd
Webster, NY 14580-2316
Phone
(585) 671-3300
Fax
(585) 671-2540
NPI assigned
May 4, 2007
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 210 AK
Optometrist 152W00000X 007485 NY Primary
Pediatric Optometrist 152WP0200X 007485 NY
Corneal and Contact Management Optometrist 152WC0802X 007485 NY

Addresses

Primary practice location

603 Ridge Rd
Webster, NY 14580-2316

Mailing address

6195 Southbrook Dr
Ontario, NY 14519-9211

Other identifiers 1

IdentifierTypeStateIssuer
OD86651MedicaidAK

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
I20120801000447 NY Practitioner - Optometry 2961497714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shari L Gustin OD PCGroup PAC ID 6800793456, 4 clinicians

Practice addresses (Care Compare)

81 E Main St
Webster, NY 14580-3238
Phone (585) 265-3710

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
210AKMDProfessional Counselor
007485NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shari L. Gustin OD, PC Optometrist CurrentSince Sep 1, 2016 Accepting new patients
Depaolis&Ryan Past Accepting new patients

Locations

81 E Main St
Webster, NY 14580
Phone (585) 265-3710

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1790997419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 SOUTHBROOK DR",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802316",
            "telephone_number": "585-671-3300",
            "fax_number": "585-671-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCHREITER",
        "first_name": "JASON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "210",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007485",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "007485",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "007485",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD86651",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

Verify at the official NPI Registry.