Organization Active NPI

George O. Temnycky MD PC

  • Ophthalmology Physician
  • Syracuse, NY
National Provider Identifier
1871663567
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GEORGE O. TEMNYCKY MD PC
Practice address
1304 Buckley Rd
Suite 205
Syracuse, NY 13212-4311
Phone
(315) 458-2020
Fax
(315) 458-6522
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Kimberly M Sullivan-Dec, MPH
Title
Administrator
Phone
(315) 458-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1304 Buckley Rd
Suite 205
Syracuse, NY 13212-4311

Mailing address

PO Box 2337
Syracuse, NY 13220-2337
Phone (315) 458-2020

Other identifiers 1

IdentifierTypeStateIssuer
02572998MedicaidNY

National Provider Directory

National Provider Directory

Locations

225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911

4820 W Taft Rd
Ste 115
Liverpool, NY 13088
Phone (315) 458-2020

3 Lock St
Phoenix, NY 13135
Phone (315) 695-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1871663567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-458-2020",
            "fax_number": "315-458-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY RD",
            "address_2": "SUITE 205",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124311",
            "telephone_number": "315-458-2020",
            "fax_number": "315-458-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE O. TEMNYCKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN-DEC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "315-458-2020",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02572998",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.