Cny Medical and Surgical Eyecare PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

008389-1 Issued in NY

Legal business name

CNY MEDICAL AND SURGICAL EYECARE PC

Practice address

5000 Brittonfield Pkwy
Suite a-102
East Syracuse, NY 13057-9226

Phone

(315) 432-0555

Fax

(315) 463-6219

NPI assigned

Mar 11, 2014

Last updated

Mar 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Weisenthal, M.D.NPI 1508957507

Title

President

Phone

(315) 445-1577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert William Weisenthal, M.D.

  • Ophthalmology Physician
  • East Syracuse, NY
  • NPI 1508957507
  Authorized official Same address or phone

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1740606086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48",
            "city": "DE WITT",
            "state": "NY",
            "postal_code": "132140048",
            "telephone_number": "315-445-1577",
            "fax_number": "315-445-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY",
            "address_2": "SUITE A-102",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579226",
            "telephone_number": "315-432-0555",
            "fax_number": "315-463-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY MEDICAL AND SURGICAL EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "WEISENTHAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-445-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "008389-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01076719",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.