Individual provider Active NPI

Thuy Xuan Dao Priest, OD

  • Optometrist
  • Rochester, NY
National Provider Identifier
1912057555
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV5361 Issued in NY
Practice address
1850 Brighton Henrietta Town Line Rd
Eye Services
Rochester, NY 14623-2532
Phone
(585) 452-8181
Fax
(585) 452-8183
NPI assigned
Jan 12, 2007
Last updated
Jul 6, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV5361 NY Primary
Contact Lens Technician/Technologist 156FC0800X TUV5361 NY

Addresses

Primary practice location

1850 Brighton Henrietta Town Line Rd
Eye Services
Rochester, NY 14623-2532

Mailing address

1850 Brighton Henrietta Town Line Rd
C/O Credentialing Department
Rochester, NY 14623-2532
Phone (585) 452-8114

Other identifiers 2

IdentifierTypeStateIssuer
100184CSOtherNYPREFERRED CARE
NY5361OtherNYEXCELLUS

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
I20110720000173 NY Practitioner - Optometry 6103094081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV5361NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Sep 15, 2021 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Sep 15, 2021 Accepting new patients

Locations

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

9 Boices Ln
Kingston, NY 12401
Phone (845) 336-3937

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1912057555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 BRIGHTON HENRIETTA TOWN LINE RD",
            "address_2": "C/O CREDENTIALING DEPARTMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232532",
            "telephone_number": "585-452-8114",
            "fax_number": "585-452-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BRIGHTON HENRIETTA TOWN LINE RD",
            "address_2": "EYE SERVICES",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232532",
            "telephone_number": "585-452-8181",
            "fax_number": "585-452-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO PRIEST",
        "first_name": "THUY",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV5361",
            "primary": true
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "NY",
            "license": "TUV5361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100184CS",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "NY5361",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.