Organization Active NPI

Calhoun Eye Care and Optometry PC

Doing business as Advanced Eyecare Center

  • Low Vision Rehabilitation Optometrist
  • Williamsville, NY
National Provider Identifier
1982659801
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
006035 Issued in NY
Legal business name
CALHOUN EYE CARE AND OPTOMETRY PC
Doing business as
Advanced Eyecare Center
Practice address
5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888
Phone
(716) 631-9970
Fax
(716) 631-8809
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Dr. Jeffrey John Calhoun, O.D.NPI 1700878006
Title
President
Phone
(716) 631-9970

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X 006035 NY Primary

Addresses

Primary practice location

5488 Sheridan Dr Ste 300
Williamsville, NY 14221-3888

Mailing address

6622 Main St
Suite 7
Williamsville, NY 14221-5968
Phone (716) 631-9970

Other identifiers 1

IdentifierTypeStateIssuer
02534334MedicaidNY

Other names 1

  • Advanced Eyecare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060220000273 NY Part B Supplier - Clinic/Group Practice 3173538683 Receives reassigned benefits from 4 practitioners
Practice locations: Williamsville, NY

National Provider Directory

National Provider Directory

Locations

6622 Main St
Ste 7
Williamsville, NY 14221
Phone (716) 631-9970

5488 Sheridan Dr
Ste 300
Williamsville, NY 14221
Phone (716) 631-9970

Practitioners & affiliated clinicians

Practitioners 5

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1982659801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6622 MAIN ST",
            "address_2": "SUITE 7",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215968",
            "telephone_number": "716-631-9970",
            "fax_number": "716-631-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 SHERIDAN DR STE 300",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213888",
            "telephone_number": "716-631-9970",
            "fax_number": "716-631-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALHOUN EYE CARE AND OPTOMETRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-631-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "006035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02534334",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.