Surgical Eye Care PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

168303 Issued in NY

Legal business name

SURGICAL EYE CARE PLLC

Practice address

86 Main St
Saranac Lake, NY 12983-5736

Phone

(518) 891-5189

Fax

(518) 891-1992

NPI assigned

Apr 26, 2007

Last updated

Oct 30, 2008By 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

Delphine S Winter

Title

Administrator

Phone

(518) 891-5189

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Gary L Hanley, O.D.

  • Optometrist
  • Malone, NY
  • NPI 1508838012
  NPD (past)
• George M Mitsoglou, O.D.

  • Optometrist
  • Plattsburgh, NY
  • NPI 1508830191
  NPD (past)
• Stephen D Smith, OD

  • Optometrist
  • Massena, NY
  • NPI 1568538957
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1841410495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MAIN ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835736",
            "telephone_number": "518-891-5189",
            "fax_number": "518-891-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MAIN ST",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835736",
            "telephone_number": "518-891-5189",
            "fax_number": "518-891-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "518-891-5189"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "168303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "180038045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine A Stevko, LCSW
• Katie F Stoddard
• Scott Stoddard
• Daniel Joseph Sullivan, LMT CERTIFIED IN ZB
• Mallory Supley
• Christine Syx, LPN
• Christopher D Theobald, FNP
• Lisa M Thomashow-Keegan
• Carolyn Rae Tidd, PA-C
• Jessica Marie Tietge

• Ophthalmology Physician in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.