Organization Active NPI

Savedoff Ciccone & Davis, Doctor of Optometry, PC

  • Optometrist
  • Manlius, NY
National Provider Identifier
1962524553
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005682-1 Issued in NY
Legal business name
SAVEDOFF CICCONE & DAVIS, DOCTOR OF OPTOMETRY, PC
Practice address
8116 Cazenovia Rd, BLDG 7
Manlius, NY 13104-8732
Phone
(315) 682-2835
Fax
(315) 682-5164
NPI assigned
Apr 4, 2007
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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 TUV3788-1 NY
Optometrist 152W00000X TUV005682-1 NY Primary
Optometrist 152W00000X T004912-1 NY

Addresses

Primary practice location

8116 Cazenovia Rd, BLDG 7
Manlius, NY 13104-8732

Mailing address

8116 Cazenovia Rd, BLDG 7
Manlius, NY 13104-8732
Phone (315) 682-2835

Other identifiers 3

IdentifierTypeStateIssuer
00595955MedicaidNY
01963744MedicaidNY
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
This NPI is an additional NPI on the 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
Ste 104
Syracuse, NY 13202
Phone (315) 472-4594

Practitioners & affiliated clinicians

Practitioners 7

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1962524553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 CAZENOVIA RD, BLDG 7",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048732",
            "telephone_number": "315-682-2835",
            "fax_number": "315-682-5164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8116 CAZENOVIA RD, BLDG 7",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048732",
            "telephone_number": "315-682-2835",
            "fax_number": "315-682-5164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVEDOFF CICCONE & DAVIS, DOCTOR OF OPTOMETRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "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": "TUV3788-1",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005682-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T004912-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00595955",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01963744",
            "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 Manlius, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.