National Provider Identifier

Western New York Medical Practice, P.C.

Western New York Medical Practice, P.C. is listed in the NPPES registry with a primary specialty of Optician in Rochester, NY and a listed phone number of (585) 544-6680.

NPI 1205643400Rochester, NYOptician

Source: public NPPES record, last updated December 12, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1205643400
Provider Type
Organization
Primary Specialty
Optician
Enumeration Date
December 12, 2024
Last Updated
December 12, 2024

Practice Location

  • 1338 E Ridge RD
  • Rochester, NY 14621-2018

Phone: (585) 544-6680

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Authorized Official

Name
Nichole S Holder
Title
Director - Payer Enrollment
Phone
(585) 922-0293

Specialties

  • Optician (156FX1800X)
  • Eyewear Supplier (332H00000X)

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Organization Overview

Western New York Medical Practice, P.C. is a Rochester, New York affiliate of Rochester Regional Health, with the local practice branded as Eye Care - Irondequoit. The eye care office is part of Rochester Regional Health’s network and provides comprehensive eye care, including eye examinations, contact lens fittings, advanced primary eye care, and a full-service optical shop. Rochester Regional Health notes that this office relocated in July 2026 to its Eye Care - Greece location while continuing the system’s regional eye care services.

Full Record
NPI
1205643400
Entity Type
Organization
Organization Name
Western New York Medical Practice, P.C.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
1338 E Ridge RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-2018
Practice Country
US
Practice Phone
(585) 544-6680
Enumeration Date
December 12, 2024
Last Updated
December 12, 2024
Authorized Official Last Name
Holder
Authorized Official First Name
Nichole
Authorized Official Middle Name
S
Authorized Official Title
Director - Payer Enrollment
Authorized Official Phone
(585) 922-0293
Organization Subpart
Yes
Parent Organization Name
WESTERN NEW YORK MEDICAL PRACTICE, P.C.
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
December 12, 2024
Taxonomies
Optician (156FX1800X), Eyewear Supplier (332H00000X)