Individual provider Active NPI

Leonard J Savedoff, O.D.

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1629054713
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003788-01 Issued in NY
Practice address
60 Presidential PLZ
Madison Tower
Syracuse, NY 13202-2292
Phone
(315) 472-4594
Fax
(315) 422-3068
NPI assigned
Dec 20, 2005
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003788-01 NY Primary

Addresses

Primary practice location

60 Presidential PLZ
Madison Tower
Syracuse, NY 13202-2292

Mailing address

60 Presidential PLZ
Madison Tower
Syracuse, NY 13202-2292
Phone (315) 472-4594

Other identifiers 4

IdentifierTypeStateIssuer
595401OtherNYMVP
00004757OtherNYBCBS
1393730OtherNYUHC
4653733OtherNYAETNA

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
I20101029000449 NY Practitioner - Optometry 8820180847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8116 Cazenovia Rd
Manlius, NY 13104-8732
Phone (315) 682-2835

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV003788-01NYMDOptometrist
003788NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Savedoff Ciccone & Davis, Doctors of Optometry, PC Optometrist CurrentSince Jan 1, 1978 Accepting new patients
Savedoff Ciccone & Davis, Doctor of Optometry, PC Optometrist Past Accepting new patients

Locations

8116 Cazenovia Rd
Bldg 7
Manlius, NY 13104
Phone (315) 682-2835

60 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-5660

60 Presidential Plz
Ste 104
Syracuse, NY 13202
Phone (315) 472-4594

Organizations & group practices 2

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1629054713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PRESIDENTIAL PLZ",
            "address_2": "MADISON TOWER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022292",
            "telephone_number": "315-472-4594",
            "fax_number": "315-422-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PRESIDENTIAL PLZ",
            "address_2": "MADISON TOWER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022292",
            "telephone_number": "315-472-4594",
            "fax_number": "315-422-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVEDOFF",
        "first_name": "LEONARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003788-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "595401",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00004757",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1393730",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4653733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.