Organization Active NPI

Eye Consultants of Syracuse PC

  • Ophthalmology Physician
  • Oswego, NY
National Provider Identifier
1043743222
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CONSULTANTS OF SYRACUSE PC
Practice address
15 Bronson St
Oswego, NY 13126-1004
Phone
(315) 342-6176
Fax
(315) 342-3120
NPI assigned
Apr 5, 2017
Organization subpart
Yes
Parent organization
EYE CONSULTANTS OF SYRACUSE PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Stephen Spitzer, MD
Title
Authorized Signatory
Phone
(315) 422-4412

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

15 Bronson St
Oswego, NY 13126-1004

Mailing address

5792 Widewaters Pkwy
Syracuse, NY 13214-1847
Phone (315) 422-4412

National Provider Directory

National Provider Directory
Tax ID family
Eye Contultants of Syracuse PC4 organizations share this tax ID, including this one
Part of
Eye Contultants of Syracuse PC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1043743222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5792 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141847",
            "telephone_number": "315-422-4412",
            "fax_number": "315-422-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BRONSON ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261004",
            "telephone_number": "315-342-6176",
            "fax_number": "315-342-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONSULTANTS OF SYRACUSE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CONSULTANTS OF SYRACUSE PC",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "SPITZER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "315-422-4412",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.