DR. JOHN S RAY O.D.
NPI 1669522900
Optometrist in Newark, NY

Q: What is John Ray's NPI number?

The NPI number for John Ray is 1669522900. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is John Ray's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for John Ray was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 11, 2007PECOS Enrolled

83.08/100

CMS Quality Rating

1210 DRIVING PARK AVE, NEWARK, NY 14513(585) 394-2020(585) 394-9261 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John S Ray O.d. NPPES

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

DR. JOHN S RAY O.D. (NPI 1669522900) is an individual optometrist in Newark, New York, licensed in New York (NYTW006745) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669522900

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JOHN S RAYCredential: O.D.

Location Address1210 DRIVING PARK AVENewark, NY 14513-1057

Mailing Address1210 Driving Park AveNewark, NY 14513-1057 · (315) 331-8921 · Fax (315) 331-8231

Phone(585) 394-2020

Fax(585) 394-9261

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateSeptember 30, 2020

NPPES CertifiedSeptember 30, 2020

✔ NPI 1669522900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · NYTW006745

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1210 DRIVING PARK AVE, Newark, NY 14513

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Secondary Practice Locations 2

Location 1325 West StCanandaigua, NY 14424-1787 · Phone (585) 394-2020 · Fax (585) 394-9261

Location 2784 Pre Emption RdGeneva, NY 14456-2092 · Phone (585) 394-2020 · Fax (585) 394-9261

Other Identifiers 1

Medicaid02649705NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John S Ray O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

43.6

Reported Quality Measures

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

100%50 patients5/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

75%57 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

MARY SUSAN NAPOLEON M.D.

Ophthalmology