Individual provider Active NPI

Christopher Michael Needham, OD

  • Optometrist
  • East Aurora, NY
National Provider Identifier
1942720628
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008624 Issued in NY
Practice address
323 Main St
East Aurora, NY 14052-1636
Phone
(716) 655-3225
Fax
(716) 655-5280
NPI assigned
Jun 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV008624 NY Primary

Addresses

Primary practice location

323 Main St
East Aurora, NY 14052-1636

Mailing address

6 Old Mill Run
Depew, NY 14043-5008
Phone (716) 668-4177

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
I20170726002349 NY Practitioner - Optometry 8820368632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Buffalo Eye Optometry PLLCGroup PAC ID 4082006416, 4 clinicians

Practice addresses (Care Compare)

7600 3Rd Ave
Niagara Falls, NY 14304-1842
Phone (716) 298-8182

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Buffalo Eye Optometry PLLC Optometrist CurrentSince Dec 17, 2021 Accepting new patients
Eye Mac Optometrists PC CurrentSince Dec 28, 2025 Accepting new patients
Council Opticians of East Aurora Single Specialty CurrentSince Nov 28, 2021 Accepting new patients

Locations

323 Main St
East Aurora, NY 14052
Phone (716) 655-3225

445 Market St
Lockport, NY 14094
Phone (716) 433-1844

7600 3rd Ave
Niagara Falls, NY 14304
Phone (716) 298-8182

8195 Sheridan Dr
Williamsville, NY 14221
Phone (716) 480-5425

Organizations & group practices 4

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1942720628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD MILL RUN",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140435008",
            "telephone_number": "716-668-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 MAIN ST",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521636",
            "telephone_number": "716-655-3225",
            "fax_number": "716-655-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Aurora, NY

Sources for this page

Verify at the official NPI Registry.