Individual provider Active NPI

Oksana Zubrzycka, O.D.

  • Optometrist
  • Le Roy, NY
National Provider Identifier
1902586738
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV00984601 Issued in NY
Practice address
8663 E Main Rd
Le Roy, NY 14482-9717
Phone
(585) 538-6435
NPI assigned
Jul 18, 2023
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV00984601 NY Primary

Addresses

Primary practice location

8663 E Main Rd
Le Roy, NY 14482-9717

Mailing address

23 Mayville Lane
Rochester, NY 14617
Phone (585) 465-4473

Other practice location 1

243 E Main St
Avon, NY 14414-1475
Phone (585) 226-3400

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
I20230821002155 NY Practitioner - Optometry 1850753054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer J Dotterweich Optometry, PCGroup PAC ID 4789874801, 2 clinicians
Place Optical Company, Inc.Group PAC ID 9335157312, 2 clinicians

Practice addresses (Care Compare)

243 E Main St
Avon, NY 14414-1475
Phone (585) 226-3400

8663 E Main Rd
Le Roy, NY 14482-9717
Phone (585) 538-6435

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV00984601NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Place Optical Company, Inc. Optometrist CurrentSince Aug 7, 2023 Accepting new patients
Jennifer J Dotterweich Optometry, PC Optometrist CurrentSince Jan 22, 2024 Accepting new patients

Locations

243 E Main St
Avon, NY 14414
Phone (585) 226-3400

243 E Main St
Ste 3
Avon, NY 14414

Organizations & group practices 2

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": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1902586738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAYVILLE LANE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14617",
            "telephone_number": "585-465-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8663 E MAIN RD",
            "city": "LE ROY",
            "state": "NY",
            "postal_code": "144829717",
            "telephone_number": "585-538-6435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 E Main St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "NY",
            "postal_code": "144141475",
            "country_code": "US",
            "telephone_number": "585-226-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUBRZYCKA",
        "first_name": "OKSANA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV00984601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Roy, NY

Sources for this page

Verify at the official NPI Registry.