Individual provider Active NPI

Dana Corinne Smith, OD

  • Optometrist
  • Baldwinsville, NY
National Provider Identifier
1720651268
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009402 Issued in NY
Practice address
8395 Oswego Rd
Baldwinsville, NY 13027-6801
Phone
(315) 622-3500
NPI assigned
Jul 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009402 NY Primary

Addresses

Primary practice location

8395 Oswego Rd
Baldwinsville, NY 13027-6801

Mailing address

200 Windemere Rd
Syracuse, NY 13219-1450
Phone (315) 720-8362

Other practice location 1

6950 E Genesee St
Fayetteville, NY 13066-1036
Phone (315) 622-3500

Other practice location 2

475 Irving Ave Ste 420
Syracuse, NY 13210-1573
Phone (315) 425-7722

Other practice location 3

6157 US Route 20
LA Fayette, NY 13084-3404
Phone (315) 657-3193

Other names 1

  • Dana Corinne Mitchell Former name

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
I20210902001607 NY Practitioner - Optometry 3678979408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Cecchi MD PCGroup PAC ID 1951552165, 3 clinicians
Richard C Malara OD PCGroup PAC ID 7719965839, 5 clinicians

Practice addresses (Care Compare)

6157 US Route 20
La Fayette, NY 13084-3404
Phone (315) 677-3193

8395 Oswego Rd
7C
Baldwinsville, NY 13027-6801
Phone (315) 622-3500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Richard C. Malara, OD PC Optometrist CurrentSince Aug 3, 2021 Accepting new patients
Lawrence Cecchi MD PC CurrentSince May 1, 2023 Accepting new patients
Joseph G. Morra, O.D., P.C. Optometrist PastSince Jul 1, 2021 Accepting new patients
Skyline Optometry, P.C. Optometrist PastSince Oct 6, 2021 Accepting new patients

Locations

8395 Oswego Rd
Baldwinsville, NY 13027
Phone (315) 450-4898

8395 Oswego Rd
Ste 7C
Baldwinsville, NY 13027
Phone (315) 622-3500

8395 Oswego Rd
#7C
Baldwinsville, NY 13027
Phone (315) 622-3500

6950 E Genesee St
Fayetteville, NY 13066
Phone (315) 256-9856

6157 US Route 20
La Fayette, NY 13084
Phone (315) 677-3193

475 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 425-7722

Interoperability endpoints

  • Direct secure messaging: dsmith@eyesolutionssyracuse.direct.eyemdemr.com

Organizations & group practices 4

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": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1720651268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WINDEMERE RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132191450",
            "telephone_number": "315-720-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 OSWEGO RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130276801",
            "telephone_number": "315-622-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6950 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130661036",
            "country_code": "US",
            "telephone_number": "315-622-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Irving Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101573",
            "country_code": "US",
            "telephone_number": "315-425-7722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6157 US Route 20",
            "address_purpose": "LOCATION",
            "city": "LA Fayette",
            "state": "NY",
            "postal_code": "130843404",
            "country_code": "US",
            "telephone_number": "315-657-3193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANA",
        "middle_name": "CORINNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "MITCHELL",
            "middle_name": "CORINNE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baldwinsville, NY

Sources for this page

Verify at the official NPI Registry.