Active NPI
David J. Braun, O.D., P.C.
- Health Maintenance Organization
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 006089
- Legal business name
- DAVID J. BRAUN, O.D., P.C.
- Practice address
- 120 Julian PL
Original Eyewear
Syracuse, NY 13210-3460 - Phone
- (315) 214-5858
- Fax
- (315) 218-5966
- NPI assigned
- Feb 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David J. Braun, OD
- Title
- Optometrist
- Phone
- (315) 214-5858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | 006089 | NY | Primary |
Addresses
Primary practice location
120 Julian PL
Original Eyewear
Syracuse, NY 13210-3460
Mailing address
120 Julian PL
Original Eyewear
Syracuse, NY 13210-3460
Phone (315) 214-5858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 Julian Pl
Ste 3
Syracuse, NY 13210
120 Julian Pl
Syracuse, NY 13210
Phone (315) 214-5858
53-59 Public Sq
Ste 101
Watertown, NY 13601
Phone (315) 782-7872
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Syracuse, NY
- NPI 1700806973
-
- Optometrist
- Cicero, NY
- NPI 1851122170
-
- Optometrist
- Pulaski, NY
- NPI 1467930586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704672000000",
"number": "1306178207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 JULIAN PL",
"address_2": "ORIGINAL EYEWEAR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132103460",
"telephone_number": "315-214-5858",
"fax_number": "315-218-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 JULIAN PL",
"address_2": "ORIGINAL EYEWEAR",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132103460",
"telephone_number": "315-214-5858",
"fax_number": "315-218-5966"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID J. BRAUN, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-03",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A",
"authorized_official_last_name": "BRAUN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "315-214-5858",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "NY",
"license": "006089",
"primary": true
}
],
"identifiers": [],
"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 Jan 8, 2024; 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.