Individual provider Active NPI

Renee Marie Krajcar

  • Optician
  • Syracuse, NY
National Provider Identifier
1679580740
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
008058-1 Issued in NY
Practice address
720 University Ave
Syracuse, NY 13210-1702
Phone
(315) 425-0373
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

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
Optician 156FX1800X 008058-1 NY Primary

Addresses

Primary practice location

720 University Ave
Syracuse, NY 13210-1702

Mailing address

114 Dexter Ave
Liverpool, NY 13088-6630
Phone (315) 263-7998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008058-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
National Eye Care, Inc Current Accepting new patients
Dr Karen a Winters O D P C CurrentSince Feb 23, 2025 Accepting new patients
Lafayette Family Optometry PLLC Past Accepting new patients

Locations

720 University Ave
Syracuse, NY 13210
Phone (315) 425-0373

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1679580740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 DEXTER AVE",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886630",
            "telephone_number": "315-263-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 UNIVERSITY AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101702",
            "telephone_number": "315-425-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAJCAR",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "008058-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.