| 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 | 
|---|---|
| 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 | 
|---|---|---|---|
| 1568578920 | NPI | - | NPPES | 
| 01644040 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary | 
| 174400000X | Specialist | (* (Not Available)) | Secondary | 
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary | 
| Provider Name | Stephen G Spitzer | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1669456349 PECOS PAC ID: 5193706042 Enrollment ID: I20040526001045 | 
| Provider Name | Diane M Dingman | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1922032887 PECOS PAC ID: 8426024720 Enrollment ID: I20040908000964 | 
| Provider Name | Anthony F Devincentis | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1538362058 PECOS PAC ID: 4587765532 Enrollment ID: I20080805000576 | 
| Provider Name | Arthur F Coli | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1558456707 PECOS PAC ID: 9335213396 Enrollment ID: I20100126000102 | 
| Provider Name | Adam M Miller | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1164697835 PECOS PAC ID: 2365607223 Enrollment ID: I20120628000067 | 
| Provider Name | Michael D Moore | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1366521759 PECOS PAC ID: 3577637305 Enrollment ID: I20180420001146 | 
| Mailing Address | Practice Location Address | 
|---|---|
| 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 |