National Eye Care, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NATIONAL EYE CARE, INC

Practice address

5160 Kinloch Circle
Fayetteville, NY 13066

Phone

(518) 302-5578

Fax

(518) 302-5588

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Mark Raymond Maxon, ODNPI 1851437479

Title

Ceo

Phone

(518) 302-5578

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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

• Mark Raymond Maxon, OD

  • Optometrist
  • Syracuse, NY
  • NPI 1851437479
  Medicare reassignment NPD Authorized official
• Angelina Marie Maxon, O.D.

  • Optometrist
  • Syracuse, NY
  • NPI 1750756342
  Medicare reassignment NPD
• Douglas Carl Melzer, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1184693095

  NY

  Medicare reassignment NPD
• Renee Marie Krajcar

  • Optician
  • Syracuse, NY
  • NPI 1679580740
  NPD

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1427405133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 KINLOCH CIRCLE",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "518-302-5578",
            "fax_number": "518-302-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 KINLOCH CIRCLE",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "518-302-5578",
            "fax_number": "518-302-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "MAXON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-302-5578",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Eilis Murphy, LMSW
• Keith S Murray, RPA
• Kimberly Craw Myers, MS OTR/L
• Christopher A Nardone, MD
• Nathan Ashby DPM PLLC
• Lindsay Elizabeth Kimmel Neidig, FNP-C
• Derek P Nguyen, DDS
• Kelly Hannon Nichols, LCSW-R
• Cosmina Olariu Nolan, DDS
• North Medical Cardiovascular Group PC (Cardiovascular Group of Syracuse)

• Optometrist in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.