National Provider Identifier

Retina Associates Of Western Ny PC

Retina Associates Of Western Ny PC is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician in Rochester, NY and a listed phone number of (585) 442-3411.

NPI 1295811560Rochester, NYRetina Specialist (Ophthalmology) Physician

Profile Overview

NPI
1295811560
Provider Type
Organization
Primary Specialty
Retina Specialist (Ophthalmology) Physician
Enumeration Date
October 30, 2006
Last Updated
January 29, 2026

Practice Location

  • 160 Sawgrass Dr Ste 200
  • Rochester, NY 14620-4655

Phone: (585) 442-3411

Specialties

  • Retina Specialist (Ophthalmology) Physician (207WX0107X)
  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1295811560
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Retina Associates Of Western Ny PC
Mailing Street Address
160 Sawgrass Dr Ste 200
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-4655
Mailing Country
US
Mailing Phone
(585) 442-3411
Mailing Fax
(585) 442-9550
Practice Street Address
160 Sawgrass Dr Ste 200
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4655
Practice Country
US
Practice Phone
(585) 442-3411
Practice Fax
(585) 442-9550
Enumeration Date
October 30, 2006
Last Updated
January 29, 2026
Authorized Official Last Name
Connolly
Authorized Official First Name
Brian
Authorized Official Middle Name
P
Authorized Official Title
President
Authorized Official Phone
(585) 442-3411
Organization Subpart
No
Authorized Official Credential Text
MD
Taxonomy Group 1
193400000X Single Specialty Group
Taxonomy Group 2
193400000X Multiple Single Specialty Group
Certification Date
January 29, 2026
Taxonomies
Retina Specialist (Ophthalmology) Physician (207WX0107X), Ophthalmology Physician (207W00000X)