MEDICARE: NEURO-OPHTHALMOLOGY CONSULTANTS OF ROCHESTER

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	2084N0400X	Neurology Physician
2	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1497771646
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEURO-OPHTHALMOLOGY CONSULTANTS OF ROCHESTER

Provider Business Mailing Address
First Line	:	200 CANAL VIEW BLVD
Second Line	:	SUITE 102
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2852
Country	:	US
Telephone Number	:	585-461-5330
Fax Number	:	585-461-9895

Provider Business Practice Location Address
First Line	:	200 CANAL VIEW BLVD
Second Line	:	SUITE 102
City	:	ROCHESTER
State	:	NY
Zip	:	14623-2852
Country	:	US
Telephone Number	:	585-461-5330
Fax Number	:	585-461-9895

Authorized Official
Title or Position	:	OWNER
Name	:	DAVID N. SMITH
Credential	:	M.D.
Telephone Number	:	585-461-5330

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/11/2025

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