Organization Active NPI

McPherson Optometry P.C.

  • Optometrist
  • North Syracuse, NY
National Provider Identifier
1689853392
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT005162 Issued in NY
Legal business name
MCPHERSON OPTOMETRY P.C.
Practice address
105 N Main St
North Syracuse, NY 13212-2324
Phone
(315) 458-1000
Fax
(315) 458-1001
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Rebecca N McPherson, ODNPI 1083702898
Title
Owner
Phone
(315) 458-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X VUT005162 NY Primary

Addresses

Primary practice location

105 N Main St
North Syracuse, NY 13212-2324

Mailing address

105 N Main St
North Syracuse, NY 13212-2324
Phone (315) 458-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000103 NY Part B Supplier - Clinic/Group Practice 7517971013 Receives reassigned benefits from 1 practitioner
Practice locations: North Syracuse, NY

National Provider Directory

National Provider Directory

Locations

105 N Main St
Syracuse, NY 13212
Phone (315) 458-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1689853392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122324",
            "telephone_number": "315-458-1000",
            "fax_number": "315-458-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122324",
            "telephone_number": "315-458-1000",
            "fax_number": "315-458-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPHERSON OPTOMETRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-458-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.