MARY ELLEN LOUGHREY O.D.
NPI 1801894068
Optometrist in Williamsville, NY
About Mary Ellen Loughrey O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ELLEN LOUGHREY O.D. (NPI 1801894068) is an individual optometrist in Williamsville, New York, licensed in New York (VUT005781-1) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Ellen Loughrey O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Ellen Loughrey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
Williamsville, NY 14221
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
WILLIAMSVILLE, NY 14221
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 Mary Ellen Loughrey's NPI number?
The NPI number for Mary Ellen Loughrey is 1801894068. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Mary Ellen Loughrey located?
Mary Ellen Loughrey practices at 40 N Union Rd Niswander Eye Center, Williamsville, NY 14221. The listed phone number is (716) 634-4441.
What is Mary Ellen Loughrey's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mary Ellen Loughrey enrolled in Medicare?
Yes. Mary Ellen Loughrey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Ellen Loughrey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ellen Loughrey reassigns Medicare benefits to 2 organizations: (Williamsville, NY) and Visionary Ophthalmology And Cataract Care, PLLC (Williamsville, NY). Each 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 Mary Ellen Loughrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Ellen Loughrey 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 Oscar Health and 7 other insurers list Mary Ellen Loughrey 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 Mary Ellen Loughrey was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary Ellen Loughrey, O.D. · NPI 1801894068
Optometrist provider in Williamsville, New York. Individual provider, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1801894068 (Entity type: Individual)
- **Enumerated:** July 12, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** VUT005781-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 N UNION RD, NISWANDER EYE CENTER, Williamsville, NY 14221-5339
- **Phone:** (716) 634-4441 · **Fax:** (716) 634-3174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): (NPI 1306844550, Williamsville, NY); Visionary Ophthalmology And Cataract Care, PLLC (NPI 1144284043, Williamsville, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ohio State University - College Of Optometry, class of 1996
## Record status
- **NPPES last updated:** March 7, 2022
- **Other identifiers:** Medicaid 01976567 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1801894068) · Data from the CMS NPPES public registry.