MEDICARE: RETINA ASSOCIATES OF WESTERN NY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician
2	207WX0107X	Retina Specialist (Ophthalmology) Physician

General Provider Information

NPI Number	:	1295811560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA ASSOCIATES OF WESTERN NY PC

Provider Business Mailing Address
First Line	:	160 SAWGRASS DR STE 200
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4655
Country	:	US
Telephone Number	:	585-442-3411
Fax Number	:	585-442-9550

Provider Business Practice Location Address
First Line	:	160 SAWGRASS DR STE 200
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14620-4655
Country	:	US
Telephone Number	:	585-442-3411
Fax Number	:	585-442-9550

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRIAN P CONNOLLY
Credential	:	MD
Telephone Number	:	585-442-3411

Provider Enumeration Date	:	10/30/2006
Last Update Date	:	04/09/2026

Similar Medicare Providers

1912296088 — ANGELA PUGLIESE BESSETTE MD
Practice Location Address:

160 SAWGRASS DR STE 200
ROCHESTER, NY
14620-4655

Practice Phone: 585-442-3411
Practice Fax: 585-442-9550

1922029503 — EDWARD FARON HALL MD
Practice Location Address:

160 SAWGRASS DR STE 200
ROCHESTER, NY
14620-4655

Practice Phone: 585-442-3411
Practice Fax: 585-442-9550

1114933421 — LISA WALLIN ANP-C, CWS
Practice Location Address:

160 SAWGRASS DR STE 130
ROCHESTER, NY
14620-4655

Practice Phone: 585-262-9100
Practice Fax: 585-256-2046

1104281310 — JODI ZONA NP
Practice Location Address:

160 SAWGRASS DR STE 130
ROCHESTER, NY
14620-4655

Practice Phone: 585-262-9169
Practice Fax:

1013427996 — CARLA SPOONER NURSE PRACTITIONER
Practice Location Address:

160 SAWGRASS DR STE 150
ROCHESTER, NY
14620-4655

Practice Phone: 585-262-9150
Practice Fax:

1790244572 — JARED EBERT MD
Practice Location Address:

160 SAWGRASS DR STE 200
ROCHESTER, NY
14620-4655

Practice Phone: 585-442-3411
Practice Fax: 585-442-9550

Directions to “RETINA ASSOCIATES OF WESTERN NY PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.