National Provider Identifier

Goodwill Vision Enterprises Inc.

Goodwill Vision Enterprises Inc. is listed in the NPPES registry with a primary specialty of Low Vision Occupational Therapist in Rochester, NY and a listed phone number of (585) 402-2059.

NPI 1629961263Rochester, NYLow Vision Occupational Therapist

Profile Overview

NPI
1629961263
Provider Type
Organization
Primary Specialty
Low Vision Occupational Therapist
Enumeration Date
June 02, 2025
Last Updated
September 16, 2025

Practice Location

  • 500 Clinton Ave S
  • Rochester, NY 14620-1105

Phone: (585) 402-2059

Mailing Address

  • 422 Clinton Ave S
  • Rochester, NY 14620-1103

Specialties

  • Low Vision Occupational Therapist (225XL0004X)
  • Assistive Technology Practitioner Rehabilitation Counselor (225CA2400X)
  • Environmental Modification Occupational Therapist (225XE0001X)
  • Environmental Modification Occupational Therapy Assistant (224ZE0001X)
  • Gerontology Occupational Therapist (225XG0600X)
  • Low Vision Occupational Therapy Assistant (224ZL0004X)
  • Occupational Therapist (225X00000X)
  • Occupational Therapy Assistant (224Z00000X)
  • Orientation and Mobility Training Rehabilitation Counselor (225CX0006X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1629961263
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Goodwill Vision Enterprises Inc.
Mailing Street Address
422 Clinton Ave S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-1103
Mailing Country
US
Mailing Phone
(585) 402-2059
Practice Street Address
500 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1105
Practice Country
US
Practice Phone
(585) 402-2059
Practice Fax
(585) 510-2437
Enumeration Date
June 02, 2025
Last Updated
September 16, 2025
Authorized Official Last Name
Rath
Authorized Official First Name
Jo
Authorized Official Middle Name
Elizabeth
Authorized Official Title
Director Of Vision Services
Authorized Official Phone
(585) 402-2059
Organization Subpart
No
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Taxonomy Group 3
193200000X Multi-Specialty Group
Taxonomy Group 4
193200000X Multi-Specialty Group
Taxonomy Group 5
193200000X Multi-Specialty Group
Taxonomy Group 6
193200000X Multi-Specialty Group
Taxonomy Group 7
193200000X Multi-Specialty Group
Taxonomy Group 8
193200000X Multi-Specialty Group
Taxonomy Group 9
193200000X Multi-Specialty Group
Taxonomy Group 10
193200000X Multi-Specialty Group
Certification Date
September 16, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Low Vision Occupational Therapist (225XL0004X), Assistive Technology Practitioner Rehabilitation Counselor (225CA2400X), Environmental Modification Occupational Therapist (225XE0001X), Environmental Modification Occupational Therapy Assistant (224ZE0001X), Gerontology Occupational Therapist (225XG0600X), Low Vision Occupational Therapy Assistant (224ZL0004X), Occupational Therapist (225X00000X), Occupational Therapy Assistant (224Z00000X), Orientation and Mobility Training Rehabilitation Counselor (225CX0006X), Pediatric Occupational Therapist (225XP0200X)