| Eye Surgeons Of Central New York, Pc | |
|
5100 W Taft Rd Ste 4m, Liverpool, NY 13088-3810 | |
| (315) 362-3937 | |
| (315) 458-7818 |
| Full Name | Eye Surgeons Of Central New York, Pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 5100 W Taft Rd Ste 4m, Liverpool, 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 |
|---|---|---|---|
| 1881725810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV005797-1 (New York) | Secondary |
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | 154663-1 (New York) | Primary |
| Provider Name | Barry Rabin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306892104 PECOS PAC ID: 6800788100 Enrollment ID: I20040330001236 |
| Provider Name | Justin Michael Dexter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336309723 PECOS PAC ID: 5890971618 Enrollment ID: I20110512000229 |
| Provider Name | Lawrence C Stewart |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639254196 PECOS PAC ID: 7618041674 Enrollment ID: I20110620000274 |
| Provider Name | Tara L Brackley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144633702 PECOS PAC ID: 6709003965 Enrollment ID: I20140812000462 |
| Provider Name | Samantha Heater |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982086484 PECOS PAC ID: 0446567747 Enrollment ID: I20150918002187 |
| Provider Name | Chelsea Smolinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609259944 PECOS PAC ID: 4981912896 Enrollment ID: I20150925001830 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Surgeons Of Central New York, Pc 5100 W. Taft Road, Suite 4m, Liverpool, NY 13088 Ph: (315) 362-3937 | Eye Surgeons Of Central New York, Pc 5100 W Taft Rd Ste 4m, Liverpool, NY 13088-3810 Ph: (315) 362-3937 |