Active NPI
Randi Gail Stewart, OD
- Optometrist
- Blasdell, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008769
- Practice address
- 3840 McKinley Pkwy
Blasdell, NY 14219-3006 - Phone
- (726) 822-1000
- NPI assigned
- Jun 18, 2018
- Last updated
- Jan 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2059-IOD1 | WV | |
| Optometrist | 152W00000X | TUV008769 | NY | Primary |
Addresses
Primary practice location
3840 McKinley Pkwy
Blasdell, NY 14219-3006
Mailing address
3840 McKinley Pkwy
Blasdell, NY 14219-3006
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | randi-stewart@pure-od.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2825 Niagara Falls Blvd
Suite 130
Amherst, NY 14228-2021
Phone (716) 564-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008769 | NY | MD | Optometrist |
| 2059-IOD1 | WV | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fichte-Endl & Elmer Eye Surgery, PC | Optometrist | Current | Accepting new patients |
| Best Vision, Inc | Optometrist | Current | Accepting new patients |
| Grover Optical LLC | Optometrist | Current | Accepting new patients |
| Park Sher Optical Co of Buffalo Ny Inc | Optometrist | Current | Accepting new patients |
| Fichte, Endl & Elmer Eye Surgery PC | Current | Accepting new patients | |
| Park Sher Optical Co of Buffalo Ny Inc | Optometrist | Current | Accepting new patients |
| Park Sher Optical Co of Buffalo Ny Inc | Optometrist | Current | Accepting new patients |
| Gowanda Eye Care, Inc. | Single Specialty | Current | Accepting new patients |
Locations
2825 Niagara Falls Blvd
Ste 130
Buffalo, NY 14228
Phone (716) 564-2020
12469 Olean Rd
Ste 1
Chaffee, NY 14030
Phone (716) 496-7454
3035 Genesee St
Ste 5
Cheektowaga, NY 14225
Phone (716) 896-3351
6 E Main St
Gowanda, NY 14070
Phone (716) 532-2396
2305 Union Rd
#2
West Seneca, NY 14224
Phone (716) 668-0711
5350 Main St
Williamsville, NY 14221
Phone (716) 218-0022
Organizations & group practices 9
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.
-
- Optometrist
- Chaffee, NY
- NPI 1336324300
-
dba buffalo optical company
- Optometrist
- Buffalo, NY
- NPI 1831175090
-
- Optometrist
- Charleston, WV
- NPI 1689626509
-
- Eyewear Supplier
- Amherst, NY
- NPI 1619984069
-
- Optometrist
- West Seneca, NY
- NPI 1619085958
-
- Optometrist
- Cheektowaga, NY
- NPI 1659484996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1952895450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 MCKINLEY PKWY",
"city": "BLASDELL",
"state": "NY",
"postal_code": "142193006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 MCKINLEY PKWY",
"city": "BLASDELL",
"state": "NY",
"postal_code": "142193006",
"telephone_number": "726-822-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "RANDI",
"middle_name": "GAIL",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "2059-IOD1",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008769",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "randi-stewart@pure-od.com",
"affiliation": "N",
"endpointDescription": "email for national vision",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3840 McKinley Pkwy",
"city": "Blasdell",
"state": "NY",
"country_code": "US",
"postal_code": "142193006",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blasdell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.