| 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 |