Optometric Providers Inc

LBN: Optometric Providers Inc
Optometric Providers Inc is an health care organization with primary practice located at 2921 Erie Blvd E , Syracuse NY 13224. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optometric Providers Inc can be contacted via phone (315) 446-3145, or through Iacobbo, Alerino M via phone (315) 446-3145.

Contact Information

Primary practice address
2921 Erie Blvd E Syracuse NY 13224
Fax: (315) 445-7675
Website:
Authorized official contact:
Name: Iacobbo, Alerino M Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1730124389
LBN Legal business name Optometric Providers Inc
DBA Doing business as
Authorized official Iacobbo, Alerino M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730124389 NPPES
Massachusetts MEDICAID 9781048

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