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BROCKPORT OPTOMETRY, PC
NPI 1437352192
Eyewear Supplier in Brockport, NY

Active since June 08, 2007CLIA 33D2113966 · Waiver
22 N MAIN ST, LOWER SUITE, BROCKPORT, NY 14420(585) 637-2121(585) 637-7722 Get Directions Write a Review

NPPES record last updated: March 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brockport Optometry, Pc NPPES

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

BROCKPORT OPTOMETRY, PC (NPI 1437352192) is a healthcare organization registered as an eyewear supplier in Brockport, New York and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through June 2, 2028 and lists Michael Lee Raff, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1437352192
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameBROCKPORT OPTOMETRY, PC
Location Address22 N MAIN ST, LOWER SUITEBrockport, NY 14420-1614
Mailing Address38 Farm Field LnPittsford, NY 14534-2865 · (585) 248-2141
Phone(585) 637-2121
Fax(585) 637-7722
Organization SubpartNo
Authorized OfficialMichael Lee RaffOptometrist · (585) 637-2121
Enumeration DateJune 8, 2007
Last NPPES UpdateMarch 17, 2008
✔ NPI 1437352192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
22 N MAIN ST, Brockport, NY 14420
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN14106BNY
Medicare UPINT25904NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2113966

Brockport Optometry, PC · Brockport, NY
Active · expires Jun 2, 2028
CLIA Number33D2113966
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2026
Certificate Expiration DateJune 2, 2028
Laboratory DirectorDr. Michael L. Raff
Laboratory Phone(585) 637-2121
Laboratory LocationBrockport Optometry, PC22 North Main Street - Lower Suite, Brockport, NY 14420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL LEE RAFF OD
Optometrist (Corneal and Contact Management)
22 N MAIN ST, LOWER SUITE
BROCKPORT, NY 14420
Monroe County (585) 637-2121
BROCKPORT OPTOMETRY, PC
Optometrist
22 N MAIN ST, LOWER SUITE
BROCKPORT, NY 14420
Monroe County (585) 637-2121

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 Brockport Optometry, PC's NPI number?

The NPI number for Brockport Optometry, PC is 1437352192. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Brockport Optometry, PC located?

Brockport Optometry, PC is located at 22 N Main St Lower Suite, Brockport, NY 14420. The listed phone number is (585) 637-2121.

What is Brockport Optometry, PC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Brockport Optometry, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2113966) is associated with this NPI, valid through June 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brockport Optometry, PC was last updated on March 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.