Individual provider Active NPI

Rebecca N McPherson, O.D.

  • Optometrist
  • North Syracuse, NY
National Provider Identifier
1083702898
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005162 Issued in NY
Practice address
105 N Main St
North Syracuse, NY 13212-2324
Phone
(315) 458-1000
Fax
(315) 458-1001
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT005162 NY Primary

Addresses

Primary practice location

105 N Main St
North Syracuse, NY 13212-2324

Mailing address

3439 Verplank Rd
Clay, NY 13041-9643
Phone (315) 695-2451

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060202000688 NY Practitioner - Optometry 4284648841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 N Main St
North Syracuse, NY 13212-2324
Phone (315) 458-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT005162NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Optometry P.C. Optometrist Current Accepting new patients

Locations

105 N Main St
Syracuse, NY 13212
Phone (315) 458-1000

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1083702898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3439 VERPLANK RD",
            "city": "CLAY",
            "state": "NY",
            "postal_code": "130419643",
            "telephone_number": "315-695-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122324",
            "telephone_number": "315-458-1000",
            "fax_number": "315-458-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "REBECCA",
        "middle_name": "N",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.