Individual provider Active NPI

Sydni Grace Spicher, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1114651817
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003932 Issued in PA
Practice address
393 Broadway
New York, NY 10013-3532
Phone
(718) 964-6161
NPI assigned
Jul 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003932 PA Primary

Addresses

Primary practice location

393 Broadway
New York, NY 10013-3532

Mailing address

34 Hunt Club Dr
Bloomsburg, PA 17815-8385
Phone (515) 509-6449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221111000000 PA Practitioner - Optometry 5092182675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finnco IncorporatedGroup PAC ID 0143389809, 3 clinicians

Practice addresses (Care Compare)

1901 Columbia Blvd
Bloomsburg, PA 17815-7750
Phone (570) 387-0991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003932PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Finnco Incorporated Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Yealy Eye East York, LLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Yealy Eye Centerville LLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Swift Optometry Care PC Optometrist CurrentSince Apr 17, 2023 Accepting new patients
Delaware Valley Vision Associates Group Practice, LLC PastSince Oct 1, 2022 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

133 W Front St
Berwick, PA 18603
Phone (570) 752-2500

1901 Columbia Blvd
Bloomsburg, PA 17815
Phone (570) 387-0991

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

244 N Queen St
#2
Lancaster, PA 17603
Phone (717) 735-0746

244 N Queen St
Lancaster, PA 17603
Phone (717) 291-5951

576 Centerville Rd
Lancaster, PA 17601
Phone (717) 201-3238

244 N Queen St
Fl 2
Lancaster, PA 17603
Phone (717) 735-0746

2161 E Market St
York, PA 17402
Phone (717) 757-3474

Organizations & group practices 5

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": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1114651817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 HUNT CLUB DR",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158385",
            "telephone_number": "515-509-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133532",
            "telephone_number": "718-964-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICHER",
        "first_name": "SYDNI",
        "middle_name": "GRACE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.