Active NPI
Eric Paul Czora, OD
- Optometrist
- North Tonawanda, NY
National Provider Identifier
1962560045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT004845
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01075929 | Medicaid | NY | |
| 30169 | Other | NY | DAVID VISION |
| 00608 | Other | NY | DAVIS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120127000023 | NY | Practitioner - Optometry | 3274700513 | Practice locations: North Tonawanda, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT004845 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Eyewear Supplier
- North Tonawanda, NY
- NPI 1225168990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.