Elias S. Abboud, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

005077-1 Issued in NY

Practice address

1304 Buckley Rd
Ste 205
Syracuse, NY 13212-4317

Phone

(315) 458-2020

Fax

(315) 458-6522

NPI assigned

Nov 7, 2005

Last updated

May 24, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Familycare Medical Group PCGroup PAC ID 5193639565, 110 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Familycare Medical Group, PC

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1447212063
  Medicare reassignment Care Compare group NPD
• Leslie D. Woodcock, Jr., M.D., PLLC

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1346455508
  Medicare reassignment NPD
• Aesthetic Plastic Surgery of Syracuse PLLC

  • Plastic and Reconstructive Surgery Physician
  • Camillus, NY
  • NPI 1609865054
  NPD (past)
• Central New York Eye Center

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1386709434
  NPD (past)
• George O. Temnycky MD PC

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1871663567

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1043291222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD",
            "address_2": "STE 3L",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883809",
            "telephone_number": "315-452-2211",
            "fax_number": "315-452-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD",
            "address_2": "STE 205",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124317",
            "telephone_number": "315-458-2020",
            "fax_number": "315-458-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOUD",
        "first_name": "ELIAS",
        "middle_name": "S.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005077-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02221630",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Kaye Abbott, OTR/L
• Jaclyn Abbott
• Leia Abbott
• Melinda Abbott
• Summer Abbott
• Omar Abdallah
• Naima Abdi
• Warda Abdi
• Sami Amine Abdul-Malak, MD
• Nasir Abdul-Wadud, PA

• Optometrist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.