Active NPI
Raymond Leslie Gottlieb, O.D.
- Low Vision Rehabilitation Optometrist
- Rochester, NY
National Provider Identifier
1992873269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- TUV005385
- Practice address
- 336 Berkeley St
Rochester, NY 14607-3311 - Phone
- (585) 461-3716
- Fax
- (585) 271-6924
- NPI assigned
- Dec 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | TUV005385 | NY | |
| Optometrist | 152W00000X | TUV005385 | NY | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | TUV005385 | NY | Primary |
Addresses
Primary practice location
336 Berkeley St
Rochester, NY 14607-3311
Mailing address
336 Berkeley St
Rochester, NY 14607-3311
Phone (585) 461-3716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1992873269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 BERKELEY ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073311",
"telephone_number": "585-461-3716",
"fax_number": "585-271-6924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 BERKELEY ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146073311",
"telephone_number": "585-461-3716",
"fax_number": "585-271-6924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTLIEB",
"first_name": "RAYMOND",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "TUV005385",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005385",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "NY",
"license": "TUV005385",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.