Individual provider Active NPI

Felix Joseph Tao, OD

  • Optometrist
  • Canandaigua, NY
National Provider Identifier
1811958507
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT0063481 Issued in NY
Practice address
2375 Rochester Rd Ste 500
Canandaigua, NY 14424-7509
Phone
(585) 393-0031
Fax
(585) 393-0032
NPI assigned
Mar 31, 2006
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT0063481 NY Primary

Addresses

Primary practice location

2375 Rochester Rd Ste 500
Canandaigua, NY 14424-7509

Mailing address

2375 Rochester Rd Ste 500
Canandaigua, NY 14424-7509
Phone (585) 393-0031

Other practice location 1

304 Eastern Blvd
Pearle Vision
Canandaigua, NY 14424-2240
Phone (585) 393-0031

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL revolutionehr.com Health Information Exchange (HIE)

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
I20060501000319 NY Practitioner - Optometry 1759391147 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT0063481NYMDOptometrist
006348NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tao Optometry LLC Optometrist CurrentSince Jul 1, 2010 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients

Locations

2375 Rochester Rd
Ste 500
Canandaigua, NY 14424
Phone (585) 393-0031

304 Eastern Blvd
Canandaigua, NY 14424
Phone (585) 393-0031

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, 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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1811958507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 ROCHESTER RD STE 500",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247509",
            "telephone_number": "585-393-0031",
            "fax_number": "585-393-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 ROCHESTER RD STE 500",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144247509",
            "telephone_number": "585-393-0031",
            "fax_number": "585-393-0032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Eastern Blvd",
            "address_2": "Pearle Vision",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144242240",
            "country_code": "US",
            "telephone_number": "585-393-0031",
            "fax_number": "585-393-0032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAO",
        "first_name": "FELIX",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT0063481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "revolutionehr.com",
            "affiliation": "N",
            "endpointDescription": "cloudbased electronic health records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "2375 Rochester Rd Ste 500",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144247509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.