Individual provider Active NPI

Carolyn A Cutre, O.D.

  • Optometrist
  • Cicero, NY
National Provider Identifier
1831138510
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006271-1 Issued in NY
Practice address
8390 Elta Dr
Cicero, NY 13039-8905
Phone
(315) 752-0555
Fax
(315) 752-0101
NPI assigned
Jun 6, 2006
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006271-1 NY Primary

Addresses

Primary practice location

8390 Elta Dr
Cicero, NY 13039-8905

Mailing address

8390 Elta Dr
Cicero, NY 13039-8905
Phone (315) 752-0555

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
I20040805000962 NY Practitioner - Optometry 9931170289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolyn a Cutre OD PLLCGroup PAC ID 7315918661, 2 clinicians

Practice addresses (Care Compare)

8390 Elta Dr
Cicero, NY 13039-8905
Phone (315) 752-0555

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006271NYMDMental Health Counselor
TUV006271-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolyn a Cutre, O.D. PLLC Optometrist CurrentSince Feb 25, 2013 Accepting new patients
Loretto Rest Realty Corporation CurrentSince Nov 1, 2019 Accepting new patients
Familycare Medical Group, PC Past Accepting new patients

Locations

6197 State Route 31
Cicero, NY 13039

6261 State Route 31
Bldg 4
Cicero, NY 13039
Phone (315) 752-0555

8390 Elta Dr
Cicero, NY 13039
Phone (315) 752-0555

115 Creek Cir
East Syracuse, NY 13057
Phone (315) 452-5800

700 E Brighton Ave
Syracuse, NY 13205
Phone (315) 413-3279

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1831138510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 ELTA DR",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398905",
            "telephone_number": "315-752-0555",
            "fax_number": "315-752-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 ELTA DR",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398905",
            "telephone_number": "315-752-0555",
            "fax_number": "315-752-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTRE",
        "first_name": "CAROLYN",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006271-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cicero, NY

Sources for this page

Verify at the official NPI Registry.