Brockport Optometry, PC
NPI 1912112889 · Optometrist · Brockport, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brockport Optometry, PC is a Optometrist organization in Brockport, NY (NPI 1912112889).
Provider details
- NPI number
- 1912112889
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Michael Raff, President(585) 637-2121
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-13
- Last updated
- 2008-07-30
Frequently asked questions
- What is Brockport Optometry, PC's NPI number?
- Brockport Optometry, PC's National Provider Identifier (NPI) is 1912112889, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brockport Optometry, PC?
- Brockport Optometry, PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Brockport Optometry, PC located?
- Brockport Optometry, PC's practice location on file with NPPES is 22 N Main St, Brockport, NY 14420-1614.
- What is Brockport Optometry, PC's phone number?
- The practice phone number listed in the NPPES registry for Brockport Optometry, PC is (585) 637-2121.
- Does Brockport Optometry, PC accept Medicare?
- Brockport Optometry, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brockport Optometry, PC?
- The authorized official listed on Brockport Optometry, PC's NPPES record is Michael Raff, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brockport Optometry, PC's NPI active?
- Yes — Brockport Optometry, PC's NPI (1912112889) is active in the NPPES registry as of the last update on 2008-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.