Individual provider Active NPI

Mary K Hart

  • Optician
  • Syracuse, NY
National Provider Identifier
1033217351
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
3503 Issued in NY
Practice address
716 James St
Ste 108
Syracuse, NY 13203-2087
Phone
(215) 476-9275
Fax
(315) 472-0197
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 3503 NY Primary

Addresses

Primary practice location

716 James St
Ste 108
Syracuse, NY 13203-2087

Mailing address

716 James St
Ste 108
Syracuse, NY 13203-2087
Phone (215) 476-9275

Other identifiers 1

IdentifierTypeStateIssuer
1295723534OtherNYGROUP PRACTICE NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3503NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Eye Physicians,LLP Past Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1033217351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 JAMES ST",
            "address_2": "STE 108",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032087",
            "telephone_number": "215-476-9275",
            "fax_number": "315-472-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 JAMES ST",
            "address_2": "STE 108",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032087",
            "telephone_number": "215-476-9275",
            "fax_number": "315-472-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "MARY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "3503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE NPI",
            "identifier": "1295723534",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.