| Davis Vision | |
|
2921 Erie Blvd E, Syracuse, NY 13224 | |
| (315) 446-3145 | |
| (315) 445-7665 |
| Full Name | Davis Vision |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2921 Erie Blvd E, Syracuse, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750358826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
| Provider Name | Venessa Stinvil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285670588 PECOS PAC ID: 1456254259 Enrollment ID: I20040129000523 |
| Provider Name | Todd Pereira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982639282 PECOS PAC ID: 1850282732 Enrollment ID: I20040322000604 |
| Provider Name | Elvira Lina Santoro |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992818017 PECOS PAC ID: 1254223795 Enrollment ID: I20040329000507 |
| Provider Name | Vicki Spivack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841251568 PECOS PAC ID: 1355333618 Enrollment ID: I20040330000961 |
| Provider Name | Jason W Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437177813 PECOS PAC ID: 3072508076 Enrollment ID: I20040419000996 |
| Provider Name | Michelle K Bass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417039363 PECOS PAC ID: 9335137231 Enrollment ID: I20040430001079 |
| Provider Name | Jaime L Kenny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154368736 PECOS PAC ID: 8921081050 Enrollment ID: I20040610000479 |
| Provider Name | Peter J Micca |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376513366 PECOS PAC ID: 0042293078 Enrollment ID: I20040610001284 |
| Provider Name | Elliot R Roth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679623938 PECOS PAC ID: 8426047135 Enrollment ID: I20040709001303 |
| Provider Name | Veronique Germaine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548265226 PECOS PAC ID: 1355320904 Enrollment ID: I20040716000513 |
| Provider Name | Michael S Diamond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467460535 PECOS PAC ID: 3971577271 Enrollment ID: I20040825000490 |
| Provider Name | Brett I Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942262191 PECOS PAC ID: 6305813965 Enrollment ID: I20040913001325 |
| Provider Name | Lisa Sheldon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538120241 PECOS PAC ID: 8123097417 Enrollment ID: I20041004000127 |
| Provider Name | Richard S Price |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386688455 PECOS PAC ID: 4082678404 Enrollment ID: I20041116000564 |
| Provider Name | Jeffrey Adler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467489633 PECOS PAC ID: 9436114188 Enrollment ID: I20041123000042 |
| Provider Name | Heather M Beierle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295797447 PECOS PAC ID: 1658337589 Enrollment ID: I20041202000764 |
| Provider Name | Donna B Lewandowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659318715 PECOS PAC ID: 1557315512 Enrollment ID: I20050311000687 |
| Provider Name | Inez M Reyna |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891759387 PECOS PAC ID: 2163478876 Enrollment ID: I20050325000274 |
| Provider Name | Elizabeth S Harvey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346386596 PECOS PAC ID: 2466409180 Enrollment ID: I20050408000094 |
| Provider Name | Jesse P Blattstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487631024 PECOS PAC ID: 1850331521 Enrollment ID: I20050512000174 |
| Provider Name | Cynthia Cahill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336108489 PECOS PAC ID: 2264475003 Enrollment ID: I20050602001156 |
| Provider Name | Jennifer Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750523528 PECOS PAC ID: 1557304698 Enrollment ID: I20050609000016 |
| Provider Name | Chuan Qin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760440739 PECOS PAC ID: 7012951874 Enrollment ID: I20050614000195 |
| Provider Name | Paul George |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508089327 PECOS PAC ID: 7810928546 Enrollment ID: I20050823000493 |
| Provider Name | Andrew M Gutmaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548220890 PECOS PAC ID: 1658397138 Enrollment ID: I20051026000766 |
| Provider Name | Asghar G Dedhar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063480184 PECOS PAC ID: 9931128261 Enrollment ID: I20051116000513 |
| Provider Name | Julie Ann M Bonanni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861456618 PECOS PAC ID: 6204841810 Enrollment ID: I20060217000173 |
| Provider Name | Robert R Deluccia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003877713 PECOS PAC ID: 9931119328 Enrollment ID: I20060501000311 |
| Provider Name | Peter E Tibbetts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134180649 PECOS PAC ID: 5496765885 Enrollment ID: I20060509000684 |
| Provider Name | Diane Rescigno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801858618 PECOS PAC ID: 1951314764 Enrollment ID: I20060721000115 |
| Provider Name | Cari Solomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992711097 PECOS PAC ID: 9931106473 Enrollment ID: I20061026000179 |
| Provider Name | Paul E Gardner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427006972 PECOS PAC ID: 2668470584 Enrollment ID: I20061201000003 |
| Provider Name | Donald B Knapp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184614109 PECOS PAC ID: 7517967805 Enrollment ID: I20070111000086 |
| Provider Name | Lori Rothman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326164583 PECOS PAC ID: 1052417003 Enrollment ID: I20070521000184 |
| Provider Name | Deborah S Rose Siegall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063453264 PECOS PAC ID: 5092713875 Enrollment ID: I20070705000044 |
| Provider Name | Alan L Levy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497817068 PECOS PAC ID: 9739270570 Enrollment ID: I20070808000118 |
| Provider Name | Farrah Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972671121 PECOS PAC ID: 2264526656 Enrollment ID: I20070917000001 |
| Provider Name | Margaret M Lipani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134281553 PECOS PAC ID: 3678667060 Enrollment ID: I20070917000022 |
| Provider Name | Judith Ann Archer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013089275 PECOS PAC ID: 3870568397 Enrollment ID: I20070919000758 |
| Provider Name | David F Amell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316906373 PECOS PAC ID: 1052405925 Enrollment ID: I20070922000186 |
| Provider Name | Stefanie B Scheingold |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629277207 PECOS PAC ID: 9931294899 Enrollment ID: I20071008000083 |
| Provider Name | Scott J Bushinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417142837 PECOS PAC ID: 7012003015 Enrollment ID: I20071023000163 |
| Provider Name | Monique Bean |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487786646 PECOS PAC ID: 6709973613 Enrollment ID: I20071024000427 |
| Provider Name | Raymond J Mint |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568557981 PECOS PAC ID: 1052401775 Enrollment ID: I20071219000228 |
| Provider Name | Zenon Wasyl Ciopyk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619060951 PECOS PAC ID: 6204916208 Enrollment ID: I20080103000255 |
| Provider Name | Mark Hershowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275530834 PECOS PAC ID: 9436050028 Enrollment ID: I20080510000011 |
| Provider Name | Min J Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750566857 PECOS PAC ID: 6305915083 Enrollment ID: I20080521000230 |
| Provider Name | Lisa Modesto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598879637 PECOS PAC ID: 9032214408 Enrollment ID: I20080611000810 |
| Provider Name | Jack Fried |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952391708 PECOS PAC ID: 6406920404 Enrollment ID: I20080809000054 |
| Provider Name | Steven J Hammer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861491946 PECOS PAC ID: 0446326144 Enrollment ID: I20080903000572 |
| Provider Name | Nancy J Schiffman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306810734 PECOS PAC ID: 2668549585 Enrollment ID: I20080918000403 |
| Provider Name | Michelle L Hall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992767081 PECOS PAC ID: 9133297278 Enrollment ID: I20081002000530 |
| Provider Name | Edward F Rubin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235227711 PECOS PAC ID: 5193893956 Enrollment ID: I20081007000021 |
| Provider Name | Natalie L Kokotow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548419948 PECOS PAC ID: 8022170703 Enrollment ID: I20081215000763 |
| Provider Name | Mona Souferian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851540983 PECOS PAC ID: 4880753250 Enrollment ID: I20081230000489 |
| Provider Name | Tanya Devlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740381623 PECOS PAC ID: 3678635539 Enrollment ID: I20081231000182 |
| Provider Name | Jeffrey Richard Cohen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437361359 PECOS PAC ID: 5890776397 Enrollment ID: I20090106000155 |
| Provider Name | Vincent E Coltellino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932180056 PECOS PAC ID: 5890858625 Enrollment ID: I20090106000166 |
| Provider Name | Kent Kresovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568423598 PECOS PAC ID: 6204990146 Enrollment ID: I20090121000629 |
| Provider Name | Ross D Gordon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427017409 PECOS PAC ID: 9234293861 Enrollment ID: I20090127000342 |
| Provider Name | Mark G Shafiroff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245306570 PECOS PAC ID: 3678630175 Enrollment ID: I20090327000464 |
| Provider Name | Anna Marie Fernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619089794 PECOS PAC ID: 3678621927 Enrollment ID: I20090427000120 |
| Provider Name | Roxanne D Joseph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124165238 PECOS PAC ID: 7517019912 Enrollment ID: I20090716000058 |
| Provider Name | Howard J Kass |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073518858 PECOS PAC ID: 4385796705 Enrollment ID: I20090716000201 |
| Provider Name | Mark Schnur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437286358 PECOS PAC ID: 9931251261 Enrollment ID: I20090717000449 |
| Provider Name | Marleen Marino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255529392 PECOS PAC ID: 8123171824 Enrollment ID: I20090728000676 |
| Provider Name | Teresa Chen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821227919 PECOS PAC ID: 0648323063 Enrollment ID: I20090803000604 |
| Provider Name | Concetta Di Zazzo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093846396 PECOS PAC ID: 5698829695 Enrollment ID: I20090810000505 |
| Provider Name | Jennifer Nim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336302876 PECOS PAC ID: 4385799485 Enrollment ID: I20090825000589 |
| Provider Name | William T Suhr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053474064 PECOS PAC ID: 1456407881 Enrollment ID: I20090925000341 |
| Provider Name | Hieu T Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891924817 PECOS PAC ID: 5991841256 Enrollment ID: I20090930000484 |
| Provider Name | Bridget Frio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528297967 PECOS PAC ID: 9133267008 Enrollment ID: I20091113000154 |
| Provider Name | Lisa T Kirkland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104801802 PECOS PAC ID: 3072653211 Enrollment ID: I20091218000050 |
| Provider Name | Ronald Meeker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194728188 PECOS PAC ID: 9032000286 Enrollment ID: I20100104000331 |
| Provider Name | Beth A Sandy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457427809 PECOS PAC ID: 6204979180 Enrollment ID: I20100201000123 |
| Provider Name | Regina F Panzone |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043212822 PECOS PAC ID: 4688718737 Enrollment ID: I20100212000612 |
| Provider Name | Seth D Shulman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255390894 PECOS PAC ID: 7113055252 Enrollment ID: I20100511000058 |
| Provider Name | Jeffrey L Jarett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225099948 PECOS PAC ID: 0648309450 Enrollment ID: I20100603000281 |
| Provider Name | Steven M Kaplan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689633695 PECOS PAC ID: 4284765686 Enrollment ID: I20100629000553 |
| Provider Name | Stanton Tepfer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144289174 PECOS PAC ID: 8224161062 Enrollment ID: I20100730000824 |
| Provider Name | Maureen A Sienko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407830227 PECOS PAC ID: 2769675560 Enrollment ID: I20101026000057 |
| Provider Name | William J Halpin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164737573 PECOS PAC ID: 7012104078 Enrollment ID: I20101203000402 |
| Provider Name | Kalindi M Desai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821207176 PECOS PAC ID: 9537357512 Enrollment ID: I20101216000839 |
| Provider Name | David Gailing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821128356 PECOS PAC ID: 7618156811 Enrollment ID: I20110120000777 |
| Provider Name | Nahida Afsana Lasker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619166899 PECOS PAC ID: 3072792274 Enrollment ID: I20110120000859 |
| Provider Name | Sergei N Petrochko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538239470 PECOS PAC ID: 0941489553 Enrollment ID: I20110128000482 |
| Provider Name | Vlada Straton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831296151 PECOS PAC ID: 2466578760 Enrollment ID: I20110228000579 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225006067 PECOS PAC ID: 0042332645 Enrollment ID: I20110321000423 |
| Provider Name | Chinyere Onyenekwu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972733293 PECOS PAC ID: 5092990143 Enrollment ID: I20110504000830 |
| Provider Name | Sunny Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770886285 PECOS PAC ID: 2961688163 Enrollment ID: I20110524000750 |
| Provider Name | Aurela Llakatura |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477862365 PECOS PAC ID: 7517145576 Enrollment ID: I20110622000731 |
| Provider Name | Thuy X Dao Priest |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912057555 PECOS PAC ID: 6103094081 Enrollment ID: I20110720000173 |
| Provider Name | Elizabeth A Milia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528373081 PECOS PAC ID: 8123297884 Enrollment ID: I20110815000292 |
| Provider Name | Vardaan Sood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003194671 PECOS PAC ID: 8224207782 Enrollment ID: I20110818000063 |
| Provider Name | Kelly A Chajka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740569623 PECOS PAC ID: 3072785260 Enrollment ID: I20111012000445 |
| Provider Name | Stuart Friedman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497831846 PECOS PAC ID: 9436272291 Enrollment ID: I20120104000528 |
| Provider Name | Edward Warren Alexander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548344690 PECOS PAC ID: 8123295870 Enrollment ID: I20120120000001 |
| Provider Name | Rebekah Young |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558578559 PECOS PAC ID: 6103085386 Enrollment ID: I20120307000484 |
| Provider Name | Edgar U Ekure |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891094488 PECOS PAC ID: 4587823109 Enrollment ID: I20120316000442 |
| Provider Name | Yancy Carl York |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437121928 PECOS PAC ID: 2466614490 Enrollment ID: I20120508000491 |
| Provider Name | Sahar F Mahmoud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518230325 PECOS PAC ID: 5193980944 Enrollment ID: I20120629000443 |
| Provider Name | Kristen J Taddie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831483585 PECOS PAC ID: 9436305737 Enrollment ID: I20120801000650 |
| Provider Name | Ellen J Chang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699925420 PECOS PAC ID: 6204085822 Enrollment ID: I20120925000686 |
| Provider Name | Obinna Ferdinand Akano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104101260 PECOS PAC ID: 1850540204 Enrollment ID: I20121001000059 |
| Provider Name | Jennifer A Fester |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902177926 PECOS PAC ID: 0840441887 Enrollment ID: I20121121000344 |
| Provider Name | Jessy J Vaidhyan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750526091 PECOS PAC ID: 5092969477 Enrollment ID: I20130212000495 |
| Provider Name | Laura Berzins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578810594 PECOS PAC ID: 1254577257 Enrollment ID: I20130417000657 |
| Provider Name | Cara Susan Wolfish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639417751 PECOS PAC ID: 3476790882 Enrollment ID: I20130502000091 |
| Provider Name | David B Torrales |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659669661 PECOS PAC ID: 4284872623 Enrollment ID: I20130524000456 |
| Provider Name | Amanda Solar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912169970 PECOS PAC ID: 7214161413 Enrollment ID: I20131001000272 |
| Provider Name | Ernest Sisneros |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619942612 PECOS PAC ID: 2163466657 Enrollment ID: I20131226000047 |
| Provider Name | Anthony J Dell'anno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801221346 PECOS PAC ID: 0941438931 Enrollment ID: I20140121001366 |
| Provider Name | Carrie M Joseph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245644350 PECOS PAC ID: 6204052897 Enrollment ID: I20140716001431 |
| Provider Name | Angelica Viviana Delgado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245645233 PECOS PAC ID: 1052538576 Enrollment ID: I20140807000171 |
| Provider Name | Tara L Brackley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144633702 PECOS PAC ID: 6709003965 Enrollment ID: I20140812000462 |
| Provider Name | Ryan J Beers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942629431 PECOS PAC ID: 9739306796 Enrollment ID: I20140814001841 |
| Provider Name | Valentina Blaine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336492370 PECOS PAC ID: 9931326907 Enrollment ID: I20140814002115 |
| Provider Name | Paul China |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427087097 PECOS PAC ID: 9739078957 Enrollment ID: I20141020001876 |
| Provider Name | Darrell R Ni |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396974861 PECOS PAC ID: 8921321449 Enrollment ID: I20150108000202 |
| Provider Name | Brian Lewy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750379087 PECOS PAC ID: 5597089011 Enrollment ID: I20150109001793 |
| Provider Name | Cheryl Lukose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457760944 PECOS PAC ID: 6901126259 Enrollment ID: I20150528000018 |
| Provider Name | Hien Trinh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508144353 PECOS PAC ID: 1052632494 Enrollment ID: I20150610001316 |
| Provider Name | Danielle Christine Kalberer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275949000 PECOS PAC ID: 5991016404 Enrollment ID: I20150624000743 |
| Provider Name | Erica Blehl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487867453 PECOS PAC ID: 8527371251 Enrollment ID: I20150723007919 |
| Provider Name | Aisha Arshad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427431188 PECOS PAC ID: 8921314949 Enrollment ID: I20150904001039 |
| Provider Name | Dale S Paynter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952703530 PECOS PAC ID: 0345557237 Enrollment ID: I20150909001399 |
| Provider Name | Samantha Heater |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982086484 PECOS PAC ID: 0446567747 Enrollment ID: I20150918002187 |
| Provider Name | Kenneth Wenthen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033592803 PECOS PAC ID: 1355658493 Enrollment ID: I20150922001278 |
| Provider Name | Miki L Zilnicki |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063852986 PECOS PAC ID: 3072820950 Enrollment ID: I20151103001139 |
| Provider Name | Komal M. Malik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609245943 PECOS PAC ID: 5890005482 Enrollment ID: I20151111001387 |
| Provider Name | Rolonda Carr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457729444 PECOS PAC ID: 2961712468 Enrollment ID: I20151113000118 |
| Provider Name | Jason Blankenship |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801921259 PECOS PAC ID: 0345345930 Enrollment ID: I20151119002686 |
| Provider Name | Brian S Vann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689059321 PECOS PAC ID: 5496057911 Enrollment ID: I20151230000793 |
| Provider Name | Shahin Eghanian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366881930 PECOS PAC ID: 6002118494 Enrollment ID: I20151231000198 |
| Provider Name | Laura Romain |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679613665 PECOS PAC ID: 1355448317 Enrollment ID: I20160108000362 |
| Provider Name | Ahlam Chahid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982076345 PECOS PAC ID: 3072815927 Enrollment ID: I20160108001057 |
| Provider Name | Inessa Jacobs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609257872 PECOS PAC ID: 5092018408 Enrollment ID: I20160119001657 |
| Provider Name | Irit Zakaim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124212519 PECOS PAC ID: 0042307803 Enrollment ID: I20160210001706 |
| Provider Name | Radmila Ilyayeva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790067817 PECOS PAC ID: 7012212053 Enrollment ID: I20160229001784 |
| Provider Name | Meghan E Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215346101 PECOS PAC ID: 1759609860 Enrollment ID: I20160324001461 |
| Provider Name | Oksana Aykelinchayev |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063883114 PECOS PAC ID: 5991095085 Enrollment ID: I20160601002389 |
| Provider Name | Sybil Kompancaril |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972812980 PECOS PAC ID: 0042501173 Enrollment ID: I20160621002139 |
| Provider Name | Joy Poonvongprasert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790135424 PECOS PAC ID: 9739473851 Enrollment ID: I20160811001359 |
| Provider Name | Christine L Tam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336590421 PECOS PAC ID: 5496049413 Enrollment ID: I20160812001702 |
| Provider Name | Kenneth W Alpha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356353478 PECOS PAC ID: 3375686447 Enrollment ID: I20160817002967 |
| Provider Name | Olga Romanovsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245648401 PECOS PAC ID: 5294035697 Enrollment ID: I20160902000226 |
| Provider Name | Jenna M Kelson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821449174 PECOS PAC ID: 7315233517 Enrollment ID: I20160915000046 |
| Provider Name | Sihyun Che |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144690306 PECOS PAC ID: 1759660962 Enrollment ID: I20161110001843 |
| Provider Name | Andrew Y Tang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437533452 PECOS PAC ID: 0244545978 Enrollment ID: I20161111001149 |
| Provider Name | Jenella D Lutchman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639621444 PECOS PAC ID: 8628354297 Enrollment ID: I20170413001619 |
| Provider Name | Richard D Hunter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518921824 PECOS PAC ID: 5597727461 Enrollment ID: I20170908000558 |
| Provider Name | Theresa Radtke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659723310 PECOS PAC ID: 8820370737 Enrollment ID: I20170911003152 |
| Provider Name | Erica Shuder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235659988 PECOS PAC ID: 5193091395 Enrollment ID: I20171016001483 |
| Provider Name | Diana Pan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447770680 PECOS PAC ID: 2163798372 Enrollment ID: I20171016001710 |
| Provider Name | Harjot Kaur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578083150 PECOS PAC ID: 7113293325 Enrollment ID: I20171016001905 |
| Provider Name | Mark S Hakim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598286569 PECOS PAC ID: 6204102437 Enrollment ID: I20171016002511 |
| Provider Name | Laura A Goldberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659723930 PECOS PAC ID: 8224325899 Enrollment ID: I20171110001218 |
| Provider Name | Elizabeth Sall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306114020 PECOS PAC ID: 6800155110 Enrollment ID: I20180112000770 |
| Provider Name | Sharon C Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083845135 PECOS PAC ID: 4688934060 Enrollment ID: I20180202000983 |
| Provider Name | Christine D O'connell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215446240 PECOS PAC ID: 7416218003 Enrollment ID: I20180222000438 |
| Provider Name | Arian L Burnett-farrands |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154845220 PECOS PAC ID: 3072877190 Enrollment ID: I20180425002441 |
| Provider Name | Fidel J Rodriguez Cruz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427208024 PECOS PAC ID: 3678837747 Enrollment ID: I20180426001583 |
| Provider Name | Glenda Aleman Moheeputh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689187676 PECOS PAC ID: 6002170180 Enrollment ID: I20180426002154 |
| Provider Name | Jeffrey C Blum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588741052 PECOS PAC ID: 2062776560 Enrollment ID: I20180509002505 |
| Provider Name | Youngah Choi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306214945 PECOS PAC ID: 7810244464 Enrollment ID: I20180727001331 |
| Provider Name | Bessie Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336662329 PECOS PAC ID: 1658629902 Enrollment ID: I20180803000015 |
| Provider Name | Iqra Quddus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821582818 PECOS PAC ID: 0749539450 Enrollment ID: I20180814000837 |
| Provider Name | Brittany Hazelton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003393273 PECOS PAC ID: 8325399678 Enrollment ID: I20180925003374 |
| Provider Name | Quan-vinh B Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548746241 PECOS PAC ID: 7113279357 Enrollment ID: I20181016002776 |
| Provider Name | Yasmin Aly El-hag |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134605603 PECOS PAC ID: 5092069716 Enrollment ID: I20181116000382 |
| Provider Name | Marie A Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790745537 PECOS PAC ID: 5395099626 Enrollment ID: I20181126001750 |
| Provider Name | Joseph A Carrock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003972399 PECOS PAC ID: 7719910686 Enrollment ID: I20181205000988 |
| Provider Name | Rolandy Dumornay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396192878 PECOS PAC ID: 0244575959 Enrollment ID: I20181228001090 |
| Provider Name | Christian E Iyore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912468570 PECOS PAC ID: 9032451679 Enrollment ID: I20190430001964 |
| Provider Name | Fidelis O Nwaezeapu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104386234 PECOS PAC ID: 9436482361 Enrollment ID: I20190610000760 |
| Provider Name | Michelle Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346389459 PECOS PAC ID: 5294763496 Enrollment ID: I20190703001307 |
| Provider Name | Shannon C. Toomey-belanger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831194653 PECOS PAC ID: 9830085125 Enrollment ID: I20190725000185 |
| Provider Name | Angela Fung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831610443 PECOS PAC ID: 1456627694 Enrollment ID: I20190801001686 |
| Provider Name | Harkirat Saini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861962144 PECOS PAC ID: 7012244510 Enrollment ID: I20190806003653 |
| Provider Name | Ryan O Motiram |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396306684 PECOS PAC ID: 1951630524 Enrollment ID: I20190906001175 |
| Provider Name | Roger W Studd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184140899 PECOS PAC ID: 6709151095 Enrollment ID: I20190906002530 |
| Provider Name | Joseph E Van Cura |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922451749 PECOS PAC ID: 8022347673 Enrollment ID: I20190909000640 |
| Provider Name | Michael C Pittelli |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225192719 PECOS PAC ID: 0840270724 Enrollment ID: I20190910000927 |
| Provider Name | Ning-ju Juang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629207543 PECOS PAC ID: 4082867072 Enrollment ID: I20191009003168 |
| Provider Name | Hong Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356995294 PECOS PAC ID: 2466783154 Enrollment ID: I20191010001455 |
| Provider Name | Kelsey L Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316509425 PECOS PAC ID: 1052744497 Enrollment ID: I20191126000377 |
| Provider Name | Lita K Huh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437427986 PECOS PAC ID: 8921431305 Enrollment ID: I20191126002122 |
| Provider Name | Judy Y. M. Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902938368 PECOS PAC ID: 9133558265 Enrollment ID: I20200410001053 |
| Provider Name | Naheed K Malik |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326217894 PECOS PAC ID: 4981035797 Enrollment ID: I20200512000947 |
| Provider Name | Abigail Kay Zielke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033733969 PECOS PAC ID: 9133545551 Enrollment ID: I20200908001846 |
| Provider Name | Kayla M Whelan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952915589 PECOS PAC ID: 2769892421 Enrollment ID: I20201109000859 |
| Provider Name | Jamie L Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790820306 PECOS PAC ID: 0648286989 Enrollment ID: I20210107000503 |
| Provider Name | Saria Iqbal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255696688 PECOS PAC ID: 3678986551 Enrollment ID: I20210114000510 |
| Provider Name | Arthur Bababekov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013967389 PECOS PAC ID: 5698791978 Enrollment ID: I20210211000622 |
| Provider Name | Clifford R Espinola |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831159250 PECOS PAC ID: 0244218782 Enrollment ID: I20210217002769 |
| Provider Name | Mariya Klyuzner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457973083 PECOS PAC ID: 1254746241 Enrollment ID: I20210225002090 |
| Provider Name | Queen L Thach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053841478 PECOS PAC ID: 2466724380 Enrollment ID: I20210330001366 |
| Provider Name | Jeffrey Daniel Enos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982198602 PECOS PAC ID: 8426466574 Enrollment ID: I20210409001566 |
| Provider Name | Shikha Bhat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407230303 PECOS PAC ID: 2567870629 Enrollment ID: I20210409001877 |
| Provider Name | Bella Sudit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578044285 PECOS PAC ID: 6103234406 Enrollment ID: I20210427001614 |
| Provider Name | Farrah H Lakhani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144270968 PECOS PAC ID: 4486646122 Enrollment ID: I20210427001948 |
| Provider Name | George Constantinopoulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376689794 PECOS PAC ID: 4284043266 Enrollment ID: I20210503002783 |
| Provider Name | Marnie N Genre |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508802067 PECOS PAC ID: 5799971156 Enrollment ID: I20210518002202 |
| Provider Name | Teresa Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376685966 PECOS PAC ID: 7214249309 Enrollment ID: I20210603002776 |
| Provider Name | Payal Kothari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922514314 PECOS PAC ID: 6507266624 Enrollment ID: I20210611000346 |
| Provider Name | Drake C Kaminski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548830748 PECOS PAC ID: 0749682797 Enrollment ID: I20210713002518 |
| Provider Name | Sarah Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083832638 PECOS PAC ID: 4587652789 Enrollment ID: I20210726002668 |
| Provider Name | Wayne Kin Quan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508438664 PECOS PAC ID: 8426452152 Enrollment ID: I20210803002070 |
| Provider Name | Kari Danielle Chapman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780256859 PECOS PAC ID: 3173927639 Enrollment ID: I20210804003832 |
| Provider Name | Vivian Lu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720651938 PECOS PAC ID: 7517361611 Enrollment ID: I20210811003803 |
| Provider Name | Richard E Sofinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184847386 PECOS PAC ID: 9436333515 Enrollment ID: I20210813002161 |
| Provider Name | Hardi Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952978496 PECOS PAC ID: 8325445935 Enrollment ID: I20210924000549 |
| Provider Name | Ashley Lockman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801458336 PECOS PAC ID: 0042624934 Enrollment ID: I20211013002837 |
| Provider Name | Michael Paul Brehm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598752289 PECOS PAC ID: 1052527371 Enrollment ID: I20211101001704 |
| Provider Name | Reham A Baghdady |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417404690 PECOS PAC ID: 5193088664 Enrollment ID: I20211103002892 |
| Provider Name | Jessica A Wilcox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730378183 PECOS PAC ID: 2163509720 Enrollment ID: I20211110002331 |
| Provider Name | Lindsey R Marvel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417205352 PECOS PAC ID: 5496904609 Enrollment ID: I20211111001479 |
| Provider Name | Eric M Crittenden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790096550 PECOS PAC ID: 3577546605 Enrollment ID: I20211111001810 |
| Provider Name | Sara R Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528009792 PECOS PAC ID: 9234211939 Enrollment ID: I20211115001724 |
| Provider Name | Peace Chinonyerem Anyadike |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033572979 PECOS PAC ID: 0345639217 Enrollment ID: I20211115001776 |
| Provider Name | Derek Vuong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326713793 PECOS PAC ID: 3870982747 Enrollment ID: I20211115001883 |
| Provider Name | Krupa Gajera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760897276 PECOS PAC ID: 7719296607 Enrollment ID: I20211117002175 |
| Provider Name | Kari Cline |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942212089 PECOS PAC ID: 0749209542 Enrollment ID: I20211213001598 |
| Provider Name | Nadia Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235680448 PECOS PAC ID: 9638569247 Enrollment ID: I20211213002645 |
| Provider Name | Stephanie D'orazio-brafman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811372279 PECOS PAC ID: 6406156678 Enrollment ID: I20220401000659 |
| Provider Name | Al'tiana Manning |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821615873 PECOS PAC ID: 5092103408 Enrollment ID: I20220401000793 |
| Provider Name | Kelsey Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992462725 PECOS PAC ID: 8820484694 Enrollment ID: I20220404000896 |
| Provider Name | Benjamin D Magno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154862365 PECOS PAC ID: 2961881073 Enrollment ID: I20220701001583 |
| Provider Name | Pamela Marie Marzec |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134472996 PECOS PAC ID: 5092958942 Enrollment ID: I20220803001255 |
| Provider Name | Philip L Hwang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588004642 PECOS PAC ID: 8729301338 Enrollment ID: I20220921002339 |
| Provider Name | Autumn Mantel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740297829 PECOS PAC ID: 8224058870 Enrollment ID: I20220921003348 |
| Provider Name | Lulu M Massri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336403575 PECOS PAC ID: 0547413049 Enrollment ID: I20221027001823 |
| Provider Name | Brian Quach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730799669 PECOS PAC ID: 7315314317 Enrollment ID: I20221103003241 |
| Provider Name | Heather Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154761765 PECOS PAC ID: 7517100316 Enrollment ID: I20221116002392 |
| Provider Name | Felicia T Popowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043219132 PECOS PAC ID: 1153352919 Enrollment ID: I20230119002715 |
| Provider Name | John Ippolito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447292586 PECOS PAC ID: 1456389741 Enrollment ID: I20230220000941 |
| Provider Name | Stacy Bragg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447389796 PECOS PAC ID: 9436397569 Enrollment ID: I20230227002386 |
| Provider Name | Antoniette Thavarajah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689343477 PECOS PAC ID: 6709259419 Enrollment ID: I20230228001923 |
| Provider Name | Christopher J Rafalski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912050485 PECOS PAC ID: 2961594957 Enrollment ID: I20230516000830 |
| Provider Name | Iqra Azam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528786241 PECOS PAC ID: 1557727302 Enrollment ID: I20230519002202 |
| Provider Name | Ralph J Bourjolly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548390495 PECOS PAC ID: 8527103829 Enrollment ID: I20230623001848 |
| Provider Name | Briana Rodriguez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780360289 PECOS PAC ID: 1153781513 Enrollment ID: I20230717001906 |
| Provider Name | Michelle Cecilia Sturckler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043996994 PECOS PAC ID: 3779944681 Enrollment ID: I20230725001876 |
| Provider Name | Christopher John Vissicchio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295412526 PECOS PAC ID: 0840651238 Enrollment ID: I20230801004286 |
| Provider Name | Jaime Morgan Schwarz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477233120 PECOS PAC ID: 2264893478 Enrollment ID: I20230804000576 |
| Provider Name | Joseph P Eiffert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003596750 PECOS PAC ID: 5698137644 Enrollment ID: I20230808003875 |
| Provider Name | Maria J Bustamante |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750060067 PECOS PAC ID: 0143682104 Enrollment ID: I20230808003902 |
| Provider Name | Taylor Rado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033802814 PECOS PAC ID: 4183087190 Enrollment ID: I20230823003870 |
| Provider Name | Fahmin A Papia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962185835 PECOS PAC ID: 3971967175 Enrollment ID: I20230906002612 |
| Provider Name | Christopher Anthony Picchione |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124704697 PECOS PAC ID: 9335593813 Enrollment ID: I20231003000726 |
| Provider Name | Kaitlyn Marie Bishop |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861125635 PECOS PAC ID: 2163876590 Enrollment ID: I20231003003206 |
| Provider Name | Ioan Ciocotisan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043864283 PECOS PAC ID: 1557699410 Enrollment ID: I20231011002836 |
| Provider Name | Kerri Lyons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982249629 PECOS PAC ID: 5597188490 Enrollment ID: I20231026002602 |
| Provider Name | Brittany Neudecker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497447486 PECOS PAC ID: 9739548272 Enrollment ID: I20231211001227 |
| Provider Name | Hanan Saleh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467236133 PECOS PAC ID: 1355790668 Enrollment ID: I20231212003311 |
| Provider Name | Keith Tully |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033591821 PECOS PAC ID: 0749595387 Enrollment ID: I20231219001543 |
| Provider Name | Michelle Z Yan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871375634 PECOS PAC ID: 9436509114 Enrollment ID: I20231220003516 |
| Provider Name | Lilan Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104230200 PECOS PAC ID: 9032413125 Enrollment ID: I20240201000287 |
| Provider Name | Theresa Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881021186 PECOS PAC ID: 2163746397 Enrollment ID: I20240201001147 |
| Provider Name | Morgan Dookie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851173611 PECOS PAC ID: 9931552379 Enrollment ID: I20240201001230 |
| Provider Name | Dena Shahani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134533953 PECOS PAC ID: 8123404274 Enrollment ID: I20240201002463 |
| Provider Name | Rickey Harton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609861129 PECOS PAC ID: 6507881117 Enrollment ID: I20240201004371 |
| Provider Name | Tiffanie Crisi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679199822 PECOS PAC ID: 2668892829 Enrollment ID: I20240202003531 |
| Provider Name | Cassandra Lappegaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962742627 PECOS PAC ID: 3779727995 Enrollment ID: I20240215000450 |
| Provider Name | Daniel Myers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639431000 PECOS PAC ID: 7719139419 Enrollment ID: I20240306002104 |
| Provider Name | Mehreen Zia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093269524 PECOS PAC ID: 0042550238 Enrollment ID: I20240327003182 |
| Provider Name | Jose Raul Cordova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649036401 PECOS PAC ID: 0143668525 Enrollment ID: I20240404000476 |
| Provider Name | Melody Delahoussaye-turner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477804771 PECOS PAC ID: 8729303847 Enrollment ID: I20240412003112 |
| Provider Name | Terri-ann Echague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952557555 PECOS PAC ID: 2567520661 Enrollment ID: I20240416003995 |
| Provider Name | Justin-veni Echague |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104072941 PECOS PAC ID: 8224215454 Enrollment ID: I20240418001082 |
| Provider Name | Ryan Michael Grabowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437904943 PECOS PAC ID: 1557702461 Enrollment ID: I20240509001731 |
| Provider Name | Scott Bartlett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639458979 PECOS PAC ID: 4981875572 Enrollment ID: I20240515001223 |
| Provider Name | Claudia Heraiz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710614219 PECOS PAC ID: 0749650802 Enrollment ID: I20240517000224 |
| Provider Name | Sidra Ahmad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366115206 PECOS PAC ID: 7911303888 Enrollment ID: I20240608000013 |
| Provider Name | Ozhan Jafri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073869434 PECOS PAC ID: 9739337866 Enrollment ID: I20240610001527 |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Vision 2921 Erie Blvd E, Syracuse, NY 13224 Ph: (315) 446-3145 | Davis Vision 2921 Erie Blvd E, Syracuse, NY 13224 Ph: (315) 446-3145 |
Kalindi Patel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9537 Destiny Usa Dr # 723, Syracuse, NY 13204 Phone: 315-474-8490 | |
Laura Ann Davis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 60 Presidential Plz, Syracuse, NY 13202 Phone: 315-472-4594 | |
Optometric Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2921 Erie Blvd East, Syracuse, NY 13045 Phone: 315-446-3145 Fax: 315-445-7675 | |
Xavier Optical, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 218 Harrison St, Syracuse, NY 13202 Phone: 315-396-0325 Fax: 315-396-0497 | |
Elias S. Abboud, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1304 Buckley Rd, Ste 205, Syracuse, NY 13212 Phone: 315-458-2020 Fax: 315-458-6522 | |
Dr. Bryan D. O'neil, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4109 W Genesee St Ste 100, Syracuse, NY 13219 Phone: 315-488-2020 | |
Empire Vision Centers Optometrist Medicare: Medicare Enrolled Practice Location: 125 Shop City Plaza, Syracuse, NY 13206 Phone: 315-463-7700 Fax: 315-463-2938 |