EYESIGHT MEDICAL CENTER
NPI 1093810830
Ophthalmology in Tonawanda, NY

Active since September 14, 2006
4041 DELAWARE AVE, SUITE 100, TONAWANDA, NY 14150(716) 837-5200(716) 837-8750 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eyesight Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYESIGHT MEDICAL CENTER (NPI 1093810830) is a healthcare organization registered as an ophthalmology in Tonawanda, New York and active in the NPI registry since September 2006. The organization lists Nicholas A Stathopoulos, President, as its authorized official.

NPPES Registry Identity

NPI1093810830
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameEYESIGHT OPHTHALMOLOGY P.C.
Location Address4041 DELAWARE AVE, SUITE 100Tonawanda, NY 14150-6850
Mailing Address4041 Delaware Ave, Suite 100Tonawanda, NY 14150-6850 · (716) 837-5200 · Fax (716) 837-8750
Fax(716) 837-8750
Organization SubpartNo
Authorized OfficialNicholas A StathopoulosPresident · (716) 517-0680
Enumeration DateSeptember 14, 2006
Last NPPES UpdateApril 5, 2017
✔ NPI 1093810830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 205998
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedEyewear SupplierTaxonomy 332H00000X
4041 DELAWARE AVE, Tonawanda, NY 14150

Other Names 1

Doing Business AsEyesight Medical Center

Other Identifiers 4

Medicaid00603329NY
Medicare UPINB35965NY
Medicare NSC1168860001NY
Medicare ID-Type UnspecifiedAA1002NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eyesight Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eyesight Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1487642682
1890 COLVIN BLVD
Tonawanda, NY 14150
(716) 837-5200
✔ PECOS✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eyesight Ophthalmology P.C.'s NPI number?

The NPI number for Eyesight Ophthalmology P.C. is 1093810830. It was assigned to this organization in the NPPES registry on September 14, 2006. The provider is doing business as Eyesight Medical Center.

Where is Eyesight Ophthalmology P.C. located?

Eyesight Ophthalmology P.C. is located at 4041 Delaware Ave Suite 100, Tonawanda, NY 14150. The listed phone number is (716) 837-5200.

What is Eyesight Ophthalmology P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Eyesight Ophthalmology P.C. enrolled in Medicare?

Yes. Eyesight Ophthalmology P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eyesight Ophthalmology P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Eyesight Ophthalmology P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eyesight Ophthalmology P.C. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Eyesight Ophthalmology P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eyesight Ophthalmology P.C. was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.