Individual provider Active NPI

Eric Paul Czora, OD

  • Optometrist
  • North Tonawanda, NY
National Provider Identifier
1962560045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT004845 Issued in NY
Practice address
968 Payne Ave
North Tonawanda, NY 14120
Phone
(716) 692-6961
Fax
(716) 692-4010
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT004845 NY Primary

Addresses

Primary practice location

968 Payne Ave
North Tonawanda, NY 14120

Mailing address

968 Payne Ave
North Tonawanda, NY 14120
Phone (716) 692-6961

Other identifiers 3

IdentifierTypeStateIssuer
01075929MedicaidNY
30169OtherNYDAVID VISION
00608OtherNYDAVIS VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120127000023 NY Practitioner - Optometry 3274700513 Practice locations: North Tonawanda, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT004845NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-City Opticians Past Accepting new patients
Fichte-Endl & Elmer Eye Surgery, PC Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962560045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-692-6961",
            "fax_number": "716-692-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "14120",
            "telephone_number": "716-692-6961",
            "fax_number": "716-692-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZORA",
        "first_name": "ERIC",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01075929",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID VISION",
            "identifier": "30169",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "00608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.