Individual provider Active NPI

Dino J D'Onofrio, OD

  • Optometrist
  • Rochester, NY
National Provider Identifier
1851322861
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003634 Issued in NY
Practice address
1338 E Ridge Rd
Rochester, NY 14621-2018
Phone
(585) 544-6680
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003634 NY Primary
Optometrist 152W00000X 3634 NY

Addresses

Primary practice location

1338 E Ridge Rd
Rochester, NY 14621-2018

Mailing address

500 Kreag Road
Pittsford, NY 14534

Other practice location 1

500 Kreag Road
Pittsford, NY 14534
Phone (585) 249-8300

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
I20110228000176 NY Practitioner - Optometry 4880875657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003634NYMDOptometrist
3634NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Sep 16, 2019 Accepting new patients

Locations

39 Washington Ave
Batavia, NY 14020
Phone (585) 343-2480

500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300

1338 E Ridge Rd
Rochester, NY 14621
Phone (585) 544-2003

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1851322861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KREAG ROAD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212018",
            "telephone_number": "585-544-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Kreag Road",
            "address_purpose": "LOCATION",
            "city": "Pittsford",
            "state": "NY",
            "postal_code": "14534",
            "country_code": "US",
            "telephone_number": "585-249-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ONOFRIO",
        "first_name": "DINO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003634",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "3634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.