Individual provider Active NPI

Christopher Shiomos, O.D.

  • Optometrist
  • East Syracuse, NY
National Provider Identifier
1306947411
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005571 Issued in NY
Practice address
5000 Brittonfield Pkwy
Suite a-102
East Syracuse, NY 13057-9226
Phone
(315) 432-0555
Fax
(315) 463-6219
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005571 NY Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy
Suite a-102
East Syracuse, NY 13057-9226

Mailing address

5000 Brittonfield Pkwy
Suite a-102
East Syracuse, NY 13057-9226
Phone (315) 432-0555

Other identifiers 1

IdentifierTypeStateIssuer
TUV0055711OtherNYOD LICENSE

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
I20040330001367 NY Practitioner - Optometry 3870585086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Medical and Surgical Eye Care PCGroup PAC ID 7012988314, 5 clinicians

Practice addresses (Care Compare)

5000 Brittonfield Pkwy
Suite A102
East Syracuse, NY 13057-9229
Phone (315) 432-0555

Merit-based Incentive Payment System (MIPS)

Final score
76.08 of 100Reported as group
Quality
78.05
Promoting interoperability
99
Improvement activities
40
Cost
43.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005571NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Medical and Surgical Eye Care PC Optometrist CurrentSince Oct 3, 2005 Accepting new patients
Cny Medical and Surgical Eye Care PC CurrentSince Oct 3, 2005 Accepting new patients
Eyecare Ophthalmology PLLC Past Accepting new patients
Eyecare Ophthalmology PLLC Past Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Locations

5700 W Genesee St
Ste 105
Camillus, NY 13031
Phone (315) 478-4185

5770 Commons Park
East Syracuse, NY 13057
Phone (315) 445-1577

5000 Brittonfield Pkwy
Ste A102
East Syracuse, NY 13057
Phone (315) 432-0555

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1306947411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY",
            "address_2": "SUITE A-102",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "315-432-0555",
            "fax_number": "315-463-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY",
            "address_2": "SUITE A-102",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "315-432-0555",
            "fax_number": "315-463-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIOMOS",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "TUV0055711",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.