Active NPI
Marycarol Graby, O.D.
- Optometrist
- Rochester, NY
National Provider Identifier
1972944668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008203
- Practice address
- 2301 Lac Deville Blvd
Rochester, NY 14618-5646 - Phone
- (585) 244-0332
- NPI assigned
- Jul 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008203 | NY | Primary |
Addresses
Primary practice location
2301 Lac Deville Blvd
Rochester, NY 14618-5646
Mailing address
2301 Lac Deville Blvd
Rochester, NY 14618-5646
Phone (585) 244-0332
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008203 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester Eye Associates Physicians and Surgeons PC | Current | Accepting new patients | |
| Western New York Medical Practice, P.C. | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Past | Accepting new patients |
Locations
10 S Pointe Lndg
Ste 230
Rochester, NY 14606
Phone (585) 244-0332
2301 Lac de Ville Blvd
Rochester, NY 14618
Phone (585) 244-0332
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.
-
- Specialist
- Rochester, NY
- NPI 1619906252
-
- Optician
- Rochester, NY
- NPI 1932864584
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1972944668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 LAC DEVILLE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185646",
"telephone_number": "585-244-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 LAC DEVILLE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185646",
"telephone_number": "585-244-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABY",
"first_name": "MARYCAROL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008203",
"primary": true
}
],
"identifiers": [],
"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 2, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.