Active NPI
Ophthalmological Associates of Syracuse MD,PC
- Specialist
- Syracuse, NY
National Provider Identifier
1912900366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 114783-1
- Legal business name
- OPHTHALMOLOGICAL ASSOCIATES OF SYRACUSE MD,PC
- Practice address
- 612 University Ave
Syracuse, NY 13210-1807 - Phone
- (315) 422-2020
- Fax
- (315) 422-7364
- NPI assigned
- May 31, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John A Hoepner, MD
- Title
- President
- Phone
- (315) 422-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 114783-1 | NY | Primary |
Addresses
Primary practice location
612 University Ave
Syracuse, NY 13210-1807
Mailing address
612 University Ave
Syracuse, NY 13210-1807
Phone (315) 422-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01524143 | Medicaid | NY |
Other names 1
- Syracuse Eye Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050603000642 | NY | Part B Supplier - Clinic/Group Practice | 8224071949 |
Receives reassigned benefits from 5 practitioners Practice locations: Syracuse, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Ophthalmological Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Syracuse, NY
- NPI 1447391933
Practitioners 5
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": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912900366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 UNIVERSITY AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101807",
"telephone_number": "315-422-2020",
"fax_number": "315-422-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 UNIVERSITY AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101807",
"telephone_number": "315-422-2020",
"fax_number": "315-422-7364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMOLOGICAL ASSOCIATES OF SYRACUSE MD,PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOEPNER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-422-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "114783-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01524143",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Syracuse Eye Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Syracuse, NY
- Onondaga Pastoral Counseling Center Inc
- Onondaga Physical Therapy, LLC
- Chidera Norbert Onwuzo, MD
- Devon Oosting, PHD
- Ophthalmological Associates of Sracuse
- Ophthalmology Medical Service Group Inc
- Molly Oppedisano, FNP-C
- Rebecca Lynn Oppedisano, LMSW
- Shannon Patricia Opperman, FNP-BC
- Optometric Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.