Organization Active NPI

Dr. O. Gregory Zazulak, MD, PC

  • Ophthalmology Physician
  • Clifton Springs, NY
National Provider Identifier
1063650257
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
178871 Issued in NY
Legal business name
DR. O. GREGORY ZAZULAK, MD, PC
Doing business as
Finger Lakes Eye Care
Practice address
6 E Main St
Clifton Springs, NY 14432-1213
Phone
(315) 462-7694
Fax
(315) 462-5248
NPI assigned
Jan 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Dr. O. Gregory Zazulak, M.D., P.C.
Title
Doctor
Phone
(315) 462-7694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 178871 NY Primary

Addresses

Primary practice location

6 E Main St
Clifton Springs, NY 14432-1213

Mailing address

6 E Main St
Clifton Springs, NY 14432-1213
Phone (315) 462-7694

Other names 1

  • Finger Lakes Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

6 E Main St
Clifton Springs, NY 14432
Phone (315) 462-7694

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1063650257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321213",
            "telephone_number": "315-462-7694",
            "fax_number": "315-462-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E MAIN ST",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321213",
            "telephone_number": "315-462-7694",
            "fax_number": "315-462-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. O. GREGORY ZAZULAK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "ZAZULAK",
        "authorized_official_first_name": "O. GREGORY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "315-462-7694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "178871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finger Lakes Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clifton Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.