NPIMap

Organization Active NPI

Cary a Kazdan OD PLLC

  • Optometrist
  • Rochester, NY
National Provider Identifier
1972726321
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005157 Issued in NY
Legal business name
CARY A KAZDAN OD PLLC
Practice address
1671 Penfield Rd
Rochester, NY 14625-2568
Phone
(583) 586-6524
Fax
(585) 586-9719
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Cary A Kazdan, ODNPI 1487634150
Title
Owner
Phone
(585) 586-6524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X VUT005157 NY Primary
Durable Medical Equipment & Medical Supplies 332B00000X VUT005157 NY
Eyewear Supplier 332H00000X VUT005157 NY

Addresses

Primary practice location

1671 Penfield Rd
Rochester, NY 14625-2568

Mailing address

1671 Penfield Rd
Rochester, NY 14625-2568
Phone (583) 586-6524

Other identifiers 2

IdentifierTypeStateIssuer
MDC277OtherNYPREFERRED CARE
P010005157OtherNYBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610001194 NY Part B Supplier - Clinic/Group Practice 7416930433 Receives reassigned benefits from 4 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Tax ID family
Cary a Kazdan OD PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1972726321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252568",
            "telephone_number": "583-586-6524",
            "fax_number": "585-586-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 PENFIELD RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252568",
            "telephone_number": "583-586-6524",
            "fax_number": "585-586-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY A KAZDAN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "KAZDAN",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-586-6524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005157",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "VUT005157",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "VUT005157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "MDC277",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010005157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.