Organization Active NPI

Savedoff Ciccone & Davis, Doctors of Optometry, PC

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1922198969
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T004912-1 Issued in NY
Legal business name
SAVEDOFF CICCONE & DAVIS, DOCTORS OF OPTOMETRY, PC
Practice address
60 Presidential Plaza
Ste 104
Syracuse, NY 13202-2292
Phone
(315) 472-4594
Fax
(315) 422-3068
NPI assigned
Oct 13, 2006
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Dr. James H Forde, ODNPI 1528686375
Title
President
Phone
(315) 472-4594

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005682-1 NY
Optometrist 152W00000X TUV3788-1 NY
Optometrist 152W00000X T004912-1 NY Primary

Addresses

Primary practice location

60 Presidential Plaza
Ste 104
Syracuse, NY 13202-2292

Mailing address

60 Presidential Plaza
Ste 104
Syracuse, NY 13202-2292
Phone (315) 472-4594

Other identifiers 4

IdentifierTypeStateIssuer
00595955MedicaidNY
01963744MedicaidNY
31552AOtherNYGROUP PIN NUMBER
06566476MedicaidNY

Other names 1

  • Weiss, Savedoff & Ciccone, Doctors of Optometry, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050311000731 NY Part B Supplier - Clinic/Group Practice 7315991387 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Manlius, NY; Syracuse, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8116 Cazenovia Rd
Bldg 7
Manlius, NY 13104
Phone (315) 682-2835

60 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-5660

60 Presidential Plz
Ste 104
Syracuse, NY 13202
Phone (315) 472-4594

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1922198969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 PRESIDENTIAL PLAZA",
            "address_2": "STE 104",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022292",
            "telephone_number": "315-472-4594",
            "fax_number": "315-422-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 PRESIDENTIAL PLAZA",
            "address_2": "STE 104",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022292",
            "telephone_number": "315-472-4594",
            "fax_number": "315-422-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVEDOFF CICCONE & DAVIS, DOCTORS OF OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-472-4594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005682-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV3788-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00595955",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01963744",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN NUMBER",
            "identifier": "31552A",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06566476",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weiss, Savedoff & Ciccone, Doctors of Optometry, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Dec 5, 2025; 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.

Verify at the official NPI Registry.