Individual provider Active NPI

Mary Ellen Loughrey, O.D.

  • Optometrist
  • Williamsville, NY
National Provider Identifier
1801894068
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005781-1 Issued in NY
Practice address
40 N Union Rd
Niswander Eye Center
Williamsville, NY 14221-5339
Phone
(716) 634-4441
Fax
(716) 634-3174
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT005781-1 NY Primary

Addresses

Primary practice location

40 N Union Rd
Niswander Eye Center
Williamsville, NY 14221-5339

Mailing address

40 N Union Rd
Williamsville, NY 14221-5339
Phone (716) 634-4441

Other identifiers 1

IdentifierTypeStateIssuer
01976567MedicaidNY

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
I20110419000982 NY Practitioner - Optometry 0244415198 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

40 N Union Rd
Williamsville, NY 14221-5339
Phone (716) 634-4441

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005781-1NYMDOptometrist
005781NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Ophthalmology and Cataract Care, PLLC Optometrist CurrentSince Oct 21, 2021 Accepting new patients
Visionary Ophthalmology and Cataract Care, PLLC Optometrist CurrentSince Oct 21, 2021 Accepting new patients

Locations

40 N Union Rd
Williamsville, NY 14221
Phone (716) 631-3950

Interoperability endpoints

  • Direct secure messaging: mloughrey@niswandereyecenter.updoxdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/vo90cc71

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1801894068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215339",
            "telephone_number": "716-634-4441",
            "fax_number": "716-634-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 N UNION RD",
            "address_2": "NISWANDER EYE CENTER",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215339",
            "telephone_number": "716-634-4441",
            "fax_number": "716-634-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHREY",
        "first_name": "MARY ELLEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005781-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01976567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.