Individual provider Active NPI

Laura Ann Davis, OD

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1013535798
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ORT009334-01 Issued in NY
Practice address
60 Presidential PLZ
Syracuse, NY 13202-2292
Phone
(315) 472-4594
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ORT009334-01 NY Primary

Addresses

Primary practice location

60 Presidential PLZ
Syracuse, NY 13202-2292

Mailing address

60 Presidential PLZ
Syracuse, NY 13202-2292
Phone (315) 472-4594

Other practice location 1

8116 Cazenovia Rd # 7
Manlius, NY 13104-8732
Phone (315) 682-2835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723003260 NY Practitioner - Optometry 4981029147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savedoff Ciccone and Davis, Doctors of Optometry, PCGroup PAC ID 7315991387, 4 clinicians

Practice addresses (Care Compare)

60 Presidential PLZ
Suite 104
Syracuse, NY 13202-2230
Phone (315) 472-4594

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ORT009334-01NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Savedoff Ciccone & Davis, Doctor of Optometry, PC Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Savedoff Ciccone & Davis, Doctors of Optometry, PC Optometrist CurrentSince Aug 1, 2021 Accepting new patients
David J. Dexter, O.D., P.C. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
David J Dexter OD PC Optometrist Current Accepting new patients

Locations

8116 Cazenovia Rd
#7
Manlius, NY 13104
Phone (315) 682-2835

8116 Cazenovia Rd
Ofc Park
Manlius, NY 13104

8116 Cazenovia Rd
Bldg 7
Manlius, NY 13104
Phone (315) 682-2835

120 E 1st St
Ste 1
Oswego, NY 13126
Phone (315) 343-2020

60 Presidential Plz
Ste 104
Syracuse, NY 13202
Phone (315) 472-4594

60 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-5660

Interoperability endpoints

  • FHIR API: https://davidjdexterodpcwatertown.ef.prod.fhir.ema-api.com/fhir/r4/
  • FHIR API: https://davidjdexterodpc.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1013535798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PRESIDENTIAL PLZ",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022292",
            "telephone_number": "315-472-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PRESIDENTIAL PLZ",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022292",
            "telephone_number": "315-472-4594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8116 Cazenovia Rd # 7",
            "address_purpose": "LOCATION",
            "city": "Manlius",
            "state": "NY",
            "postal_code": "131048732",
            "country_code": "US",
            "telephone_number": "315-682-2835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "ORT009334-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.