Organization Active NPI

Syracuse Eye Physicians,LLP

  • Ophthalmology Physician
  • Syracuse, NY
National Provider Identifier
1295723534
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SYRACUSE EYE PHYSICIANS,LLP
Practice address
716 James St
Ste 108
Syracuse, NY 13203-2087
Phone
(315) 472-4467
Fax
(315) 472-0197
NPI assigned
Oct 11, 2005
Last updated
Feb 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Authorized official

Name
Dr. Carl Jesse Hanig, M.D.NPI 1821198565
Title
Physician/Partner
Phone
(315) 472-4467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

716 James St
Ste 108
Syracuse, NY 13203-2087

Mailing address

716 James Street
Ste 108
Syracuse, NY 13203
Phone (315) 472-4467

Other identifiers 1

IdentifierTypeStateIssuer
00900358MedicaidNY

National Provider Directory

National Provider Directory

Locations

716 James St
Ste 108
Syracuse, NY 13203
Phone (315) 472-4467

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1295723534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 JAMES STREET",
            "address_2": "STE 108",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-472-4467",
            "fax_number": "315-472-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 JAMES ST",
            "address_2": "STE 108",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032087",
            "telephone_number": "315-472-4467",
            "fax_number": "315-472-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYRACUSE EYE PHYSICIANS,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "HANIG",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "JESSE",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "315-472-4467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00900358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.