Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariateresa Ceravolo, OD

Individual provider Optometrist · NPI 1760471338

Mariateresa Ceravolo, OD is an Optometry in Canandaigua, New York. Graduated from Pennsylvania College of Optometry in 2005, 21 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
Pennsylvania College of Optometry
Licensed in
NY
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

325 W St
Canandaigua, NY 14424-1723
Phone: (585) 394-2020
Fax: (585) 394-9261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 784 Pre Emption Rd, Geneva, NY 14456-2092 — (585) 394-2020

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV006894 (NY)

Record details

NPI number1760471338
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 17, 2005
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2005 (21 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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