99Eye LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

99EYE LLC

Practice address

1924 Monroe Ave
Rochester, NY 14618-1919

Phone

(585) 271-7613

Fax

(585) 473-9190

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Judith Ann Archer, O.D.

Title

Owner/ Optomotrist

Phone

(585) 271-7613

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Brighton Vision Associates Doing business as
• Gitlin optical Doing business as

Locations

Practitioners 2

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

• Mili Khanna

  • Optometrist
  • Rochester, NY
  • NPI 1508884982
  NPD (past)
• Jason Winthrop Moore, O.D.

  • Optometrist
  • Rochester, NY
  • NPI 1437177813
  NPD (past)

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1982103032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181919",
            "telephone_number": "585-271-7613",
            "fax_number": "585-473-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181919",
            "telephone_number": "585-271-7613",
            "fax_number": "585-473-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "99EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/ OPTOMOTRIST",
        "authorized_official_telephone_number": "585-271-7613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "47934",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05180218",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02954814",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Vision Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gitlin optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gitlin optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.