Individual provider Active NPI

David E. D'Amico

  • Optometrist
  • Rochester, NY
National Provider Identifier
1851497176
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004657 Issued in NY
Practice address
250 Mile Crossing Blvd Ste 1B
Rochester, NY 14624-6242
Phone
(585) 571-9034
Fax
(585) 471-8827
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 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 TUV004657 NY Primary

Addresses

Primary practice location

250 Mile Crossing Blvd Ste 1B
Rochester, NY 14624-6242

Mailing address

250 Mile Crossing Blvd Ste 1B
Rochester, NY 14624-6242
Phone (585) 571-9034

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
I20090611000334 NY Practitioner - Optometry 8426108523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 Mile Crossing Blvd
Suite 1B
Rochester, NY 14624-6242
Phone (585) 571-9034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004657NYMDOptometrist
004657NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Optometry PLLC Optometrist CurrentSince Mar 1, 2016 Accepting new patients
CVG Optometry, LLC Optometrist PastSince May 18, 2009 Accepting new patients
Louis E. Baskin, O.D. Optometrist Past Accepting new patients

Locations

250 Mile Crossing Blvd
Ste 1B
Rochester, NY 14624
Phone (585) 571-9034

3225 Chili Ave
Rochester, NY 14624
Phone (585) 571-9034

Interoperability endpoints

  • Direct secure messaging: david.d'amico@direct.revolutionehr.com

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1851497176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MILE CROSSING BLVD STE 1B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246242",
            "telephone_number": "585-571-9034",
            "fax_number": "585-471-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MILE CROSSING BLVD STE 1B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146246242",
            "telephone_number": "585-571-9034",
            "fax_number": "585-471-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "DAVID",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.