Syracuse Vision Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1319 Issued in NE

Legal business name

SYRACUSE VISION CENTER, P.C.

Doing business as

Syracuse Family Eyecare

Practice address

135 9TH St
Syracuse, NE 68446-9740

Phone

(402) 269-2321

Fax

(402) 269-3475

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany J Walters, O.D.NPI 1821226861

Title

President

Phone

(402) 269-2321

Specialties & licenses 1

Addresses

Other names 1

• Syracuse Family Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Joy Walters, O.D

  • Optometrist
  • Syracuse, NE
  • NPI 1821226861
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1053692178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 9TH ST",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684469740",
            "telephone_number": "402-269-2321",
            "fax_number": "402-269-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 9TH ST",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684469740",
            "telephone_number": "402-269-2321",
            "fax_number": "402-269-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-269-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syracuse Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Melissa L. Tompkins, PA C
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• Optometrist in Syracuse, NE
• Providers in Syracuse, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.