Individual provider Active NPI

Randi Gail Stewart, OD

  • Optometrist
  • Blasdell, NY
National Provider Identifier
1952895450
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008769 Issued in NY
Practice address
3840 McKinley Pkwy
Blasdell, NY 14219-3006
Phone
(726) 822-1000
NPI assigned
Jun 18, 2018
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL randi-stewart@pure-od.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190930000992 WV Practitioner - Optometry 4688904931 Reassigns benefits to 1 organization
I20201123002199 NY Practitioner - Optometry 4688904931 Reassigns benefits to 3 organizations

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
Fichte-Endl and Elmer Eye Surgery PCGroup PAC ID 0446228597, 11 clinicians

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

LicenseStateTypeSpecialty
TUV008769NYMDOptometrist
2059-IOD1WVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fichte-Endl & Elmer Eye Surgery, PC Optometrist CurrentSince Jun 9, 2025 Accepting new patients
Best Vision, Inc Optometrist CurrentSince Jul 21, 2020 Accepting new patients
Grover Optical LLC Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Fichte, Endl & Elmer Eye Surgery PC CurrentSince Jun 9, 2025 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Park Sher Optical Co of Buffalo Ny Inc Optometrist Current Accepting new patients
Gowanda Eye Care, Inc. Single Specialty CurrentSince Oct 1, 2023 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.

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

Verify at the official NPI Registry.