Individual provider Active NPI

Mara Rose Tresansky, OD

  • Optometrist
  • Victor, NY
National Provider Identifier
1841963071
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009421 Issued in NY
Practice address
274 W Main St
Victor, NY 14564-1157
Phone
(585) 924-4430
Fax
(585) 924-4093
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009421 NY Primary

Addresses

Primary practice location

274 W Main St
Victor, NY 14564-1157

Mailing address

274 W Main St
Victor, NY 14564-1157
Phone (585) 924-4430

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
I20210927002126 NY Practitioner - Optometry 0244637767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C and R Vision Center IncGroup PAC ID 3274592167, 4 clinicians

Practice addresses (Care Compare)

274 W Main St
Victor, NY 14564-1157
Phone (585) 924-4430

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C & R Vision Center Inc CurrentSince Jul 24, 2025 Accepting new patients

Locations

274 W Main St
Victor, NY 14564
Phone (585) 924-3250

Organizations & group practices 1

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": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1841963071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-4430",
            "fax_number": "585-924-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-4430",
            "fax_number": "585-924-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESANSKY",
        "first_name": "MARA",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.