Skyline Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SKYLINE OPTOMETRY, P.C.

Practice address

5349 W Taft Rd
North Syracuse, NY 13212-2747

Phone

(315) 458-8010

Fax

(315) 458-8011

NPI assigned

Nov 5, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Gerard Morra, ODNPI 1760484091

Title

Owner

Phone

(315) 458-8010

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• Skyline Optical, PC Former legal business name
• Skyline Ophthalmic, PC Other name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Gerard Morra, O.D.

  • Optometrist
  • North Syracuse, NY
  • NPI 1760484091
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Maria Joy, OD

  • Optometrist
  • North Syracuse, NY
  • NPI 1790135853
  Medicare reassignment Care Compare group NPD
• Dana Corinne Smith, OD

  • Optometrist
  • Baldwinsville, NY
  • NPI 1720651268
  NPD (past)

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1396726535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 W TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122747",
            "telephone_number": "315-458-8010",
            "fax_number": "315-458-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 W TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122747",
            "telephone_number": "315-458-8010",
            "fax_number": "315-458-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-05",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "MORRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-458-8010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0497030001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396726535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skyline Optical, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Skyline Ophthalmic, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aubrey Lynne Sejuit, LISW-CP
• Adam Shaver, BA, CASAC
• Cathleen Elizabeth Shea, LMHC
• Lindsay Shelmadine
• Wilson Dandato Sithole, DDS MPH
• Patricia Mary Slack, ATR-BC, LCAT, CASAC
• Kelley E Sluka
• Jennifer Keyes Slusser, OTR
• Jennifer M Smith, LPN
• Walter John Socha Jr., RPH

• Optometrist in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.

Verify at the official NPI Registry.