Individual provider Active NPI

Eldin Smajkan, OD

  • Optometrist
  • Ogdensburg, NY
National Provider Identifier
1598278541
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008706 Issued in NY
Practice address
3000 Ford Street Ext
Ogdensburg, NY 13669-4480
Phone
(315) 394-7902
NPI assigned
Nov 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008706 NY Primary

Addresses

Primary practice location

3000 Ford Street Ext
Ogdensburg, NY 13669-4480

Mailing address

3000 Ford Street Ext
Ogdensburg, NY 13669-4480
Phone (315) 394-7902

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
I20181026001724 NY Practitioner - Optometry 5698028322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Eye Physicians and Surgeons PCGroup PAC ID 9931151982, 2 clinicians

Practice addresses (Care Compare)

8360 Seneca Turnpike
New Hartford, NY 13413-4956
Phone (315) 735-8358

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Eye Physicians and Surgeons PC CurrentSince Dec 1, 2018 Accepting new patients

Locations

8360 Seneca Tpke
New Hartford, NY 13413
Phone (315) 735-8358

2206 Genesee St
Utica, NY 13502
Phone (315) 733-2526

Interoperability endpoints

  • Direct secure messaging: eldinsmajkan@eyeutica.medentdirect.com

Organizations & group practices 1

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1598278541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FORD STREET EXT",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694480",
            "telephone_number": "315-394-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FORD STREET EXT",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694480",
            "telephone_number": "315-394-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMAJKAN",
        "first_name": "ELDIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.