Eye Consultants Of Syracuse Pc | |
5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | |
(315) 422-4412 | |
Not Available |
Full Name | Eye Consultants Of Syracuse Pc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 5792 Widewaters Pkwy Ste 101, 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 |
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1568578920 | NPI | - | NPPES |
01644040 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Secondary |
174400000X | Specialist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Stephen G Spitzer |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1669456349 PECOS PAC ID: 5193706042 Enrollment ID: I20040526001045 |
Provider Name | Diane M Dingman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922032887 PECOS PAC ID: 8426024720 Enrollment ID: I20040908000964 |
Provider Name | Scott J Bushinger |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417142837 PECOS PAC ID: 7012003015 Enrollment ID: I20071023000163 |
Provider Name | Anthony F Devincentis |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538362058 PECOS PAC ID: 4587765532 Enrollment ID: I20080805000576 |
Provider Name | Arthur F Coli |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1558456707 PECOS PAC ID: 9335213396 Enrollment ID: I20100126000102 |
Provider Name | Adam M Miller |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164697835 PECOS PAC ID: 2365607223 Enrollment ID: I20120628000067 |
Provider Name | Michael D Moore |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1366521759 PECOS PAC ID: 3577637305 Enrollment ID: I20180420001146 |
Mailing Address | Practice Location Address |
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Eye Consultants Of Syracuse Pc 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412 | Eye Consultants Of Syracuse Pc 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 Ph: (315) 422-4412 |