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Man posing as optometrist ordered to pay restitution to insurers

Rochester Business Journal
June 23, 2014

A Buffalo-area man who pretended to be a licensed optometrist in Rochester paid $116,821 in restitution and served 150 hours of community service, state Attorney General Eric Schneiderman said Monday.

As part of a plea deal that leaves him conditionally free for 36 months, Shamil Tadros, 45, paid the full amount of restitution and completed all of the required hours of community service before his June 23 sentencing by acting Monroe County Court Judge Melchor Castro, Schneiderman said.      

As previously reported by the Rochester Business Journal, Tadros of Tonawanda never was a New York-licensed optometrist, but successfully posed as one for 13 years, securing jobs at several Rochester-area eyeglass shops. He entered a guilty plea in January.

Tadros’ sentence included an order to repay insurance companies that approved the claims he improperly put in.

Excellus BlueCross Blue Shield took the biggest hit, paying out some $65,000 in claims on private policies, Schneiderman said. Along with the state’s Medicaid program it also paid out approximately $15,000 in Medicaid HMO claims.  

Other insurers Tadros had to repay are:

  • MVP Health Care, which paid out more than $15,000;
  • United Healthcare, whose payout topped $10,000;
  • EyeMed Vision Care, which paid out more than $3,000; and 
  • Aetna Inc., which paid more than $1,000. 

 
(c) 2014 Rochester Business Journal. To obtain permission to reprint this article, call 585-546-8303 or e-mail service@rbj.net.
 



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