Individual provider Active NPI

Frank Edmund Visco Jr., O.D., M.S.

  • Corneal and Contact Management Optometrist
  • Ithaca, NY
National Provider Identifier
1548350358
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TUV007249 Issued in NY
Practice address
1284 Dryden Rd
Ithaca, NY 14850-8795
Phone
(607) 257-1066
Fax
(607) 257-1378
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TUV007249 NY Primary

Addresses

Primary practice location

1284 Dryden Rd
Ithaca, NY 14850-8795

Mailing address

3534 State Route 215
Cortland, NY 13045-9440
Phone (832) 264-9571

Other identifiers 1

IdentifierTypeStateIssuer
007249OtherNYNY OPTOMETRIST 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
I20131007001427 NY Practitioner - Optometry 5395824155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward G Bryant IV OD PLLCGroup PAC ID 0840445540, 3 clinicians

Practice addresses (Care Compare)

1284 Dryden Rd
Ithaca, NY 14850-8795
Phone (607) 257-1066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007249NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward G Bryant IV OD PLLC Optometrist CurrentSince Jan 8, 2022 Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients

Locations

1284 Dryden Rd
Ithaca, NY 14850
Phone (607) 257-1066

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1548350358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 STATE ROUTE 215",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130459440",
            "telephone_number": "832-264-9571",
            "fax_number": "607-257-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1284 DRYDEN RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148508795",
            "telephone_number": "607-257-1066",
            "fax_number": "607-257-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCO",
        "first_name": "FRANK",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV007249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY OPTOMETRIST LICENSE",
            "identifier": "007249",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.