Individual provider Active NPI

B. Scott Fine, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1912975673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT003075 Issued in NY
Practice address
381 White Spruce Blvd
Rochester, NY 14623-1603
Phone
(585) 424-5050
Fax
(585) 424-1009
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT003075 NY Primary

Addresses

Primary practice location

381 White Spruce Blvd
Rochester, NY 14623-1603

Mailing address

381 White Spruce Blvd
Rochester, NY 14623-1603
Phone (585) 424-5050

Other identifiers 2

IdentifierTypeStateIssuer
161072528OtherNYTAX ID
00451794MedicaidNY

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
I20111220000326 NY Practitioner - Optometry 4082829098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2580 State Route 21
Canandaigua, NY 14424-8719
Phone (585) 577-7739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT003075NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
T. Spex Eyewear Inc CurrentSince May 1, 2021 Accepting new patients
Emerging Vision Inc Optometrist CurrentSince May 1, 2021 Accepting new patients
Emerging Vision Inc Optometrist CurrentSince May 1, 2021 Accepting new patients

Locations

6081 State Route 96
Ste 8
Farmington, NY 14425
Phone (585) 924-2550

1560 State Route 332
Ste 5
Farmington, NY 14425

1560 State Route 332
Farmington, NY 14425
Phone (585) 433-8021

100 Quentin Roosevelt Blvd
Ste 101
Garden City, NY 11530

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912975673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231603",
            "telephone_number": "585-424-5050",
            "fax_number": "585-424-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231603",
            "telephone_number": "585-424-5050",
            "fax_number": "585-424-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "B.",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "161072528",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00451794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.