Carolyn a Cutre, O.D. PLLC
Organization Active NPI Optometrist · Cicero, NY
NPI 1497091672 · NPPES record last updated Jun 5, 2023
Key facts
- NPI
- 1497091672
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- CAROLYN A CUTRE, O.D. PLLC
- Practice address
- 8390 Elta Dr
Cicero, NY 13039-8905 - Phone
- (315) 752-0555
- NPI assigned
- Dec 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Carolyn Cutre, O.D
- Title
- Owner
- Phone
- (315) 752-0555
Practitioners 3
-
Carolyn A Cutre, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130225000434 | NY | Part B Supplier - Clinic/Group Practice | 7315918661 |
Receives reassigned benefits from 3 practitioners Practice locations: Cicero, NY |
National Provider Directory
Locations
6261 State Route 31
Bldg 4
Cicero, NY 13039
Phone (315) 752-0555
6197 State Route 31
Cicero, NY 13039
8390 Elta Dr
Cicero, NY 13039
Phone (315) 752-0555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
8390 Elta Dr
Cicero, NY 13039-8905
Mailing address
8390 Elta Dr
Cicero, NY 13039-8905
Phone (315) 752-0555
Other names
- Cicero Family Eye Care
Other providers in Cicero, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.