Siyun Ren, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009569 Issued in NY

Practice address

120 Township Blvd
Camillus, NY 13031-1661

Phone

(315) 883-2376

NPI assigned

Jul 7, 2022

Last updated

Jun 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pure Vision Optical 2 LLC

  dba Pure Vision Optical

  • Optometrist
  • Bronx, NY
  • NPI 1164156261
  Medicare reassignment NPD
• Vision Quest of Bruckner Corp.

  • Eyewear Supplier
  • Bronx, NY
  • NPI 1003968819

  Optometrist

  Medicare reassignment NPD
• Vision Quest Optical of Story Avenue Inc

  • Optometrist
  • Bronx, NY
  • NPI 1255986972
  Medicare reassignment NPD
• S Ren Optometry PLLC

  • Optometrist
  • Camillus, NY
  • NPI 1932026812
  NPD (past) Authorized official

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1811620834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HALE AVE # 503W",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051743",
            "telephone_number": "919-428-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TOWNSHIP BLVD",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311661",
            "telephone_number": "315-883-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REN",
        "first_name": "SIYUN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel B Rameas, DPM
• Allison Ray, MS, LMHC-D, NCC, ACS
• Melissa Diane Reale, PHARM.D.
• Regional Medical Services Inc
• Regional Medical Services Inc
• Dennis E. Resetarits, M.D.
• Catherine Murphy Rewakowski
• Cheryl L Reynolds-Bowles, LPN
• Dermot M. Reynolds, M.D.
• Holly Ann Reynolds, LPN

• Optometrist in Camillus, NY
• Providers in Camillus, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.