CHARLES TEITELBAUM


Address: 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847
Phone: 3154224412

CHARLES TEITELBAUM (NPI# 1033112487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033112487
Entity Type Individual
Full Name CHARLES TEITELBAUM
Credential MD
Practice Address 5792 Widewaters Pkwy Ste 101
Syracuse
NY 13214-1847
Practice Telephone 3154224412
Mailing Telephone 3154224412
Enumeration Date 2005-05-31
Last Update Date 2019-04-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 137677 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00922876 05

Office Location

Street Address 5792 WIDEWATERS PKWY STE 101
City SYRACUSE
State NY
Zip Code 13214-1847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336709518 Stacey Lorraine Nutting Technician/Technologist 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 2019-06-19
1578852992 Katharine Liegel Ophthalmology 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 2011-04-06
1417142837 Scott J Bushinger Optometrist 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 2007-09-10
1538362058 Anthony Francis Devincentis IIi Ophthalmology 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 2007-06-11
1366521759 Michael David Moore Ophthalmology 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 2006-11-04
1912014200 Walter Woodhull Merriam Ophthalmology 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 2006-08-24
1568578920 Eye Consultants of Syracuse PC Optometrist 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 2006-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1124568993 Jose Alvarez Dentist 3425 Erie Blvd E Ste 1, De Witt, NY 13214 2017-02-27
1205258365 Margaret Miller Social Worker 4101 E. Genesee St, Syracuse, NY 13214 2014-01-09
1124367669 Marni Marie Millet Counselor 4309 E Genesee St Ste 4, Syracuse, NY 13214 2013-02-04
1477817401 Runa Acharya Internal Medicine 3229 East Genesee St, Syracuse, NY 13214 2012-06-25
1487949913 Angela Patricia Mojica Sanabria Pediatrics 3229 East Genesee St Ste 1, Syracuse, NY 13214 2011-06-13
1346530169 Affinity Rehabilitation LLP Clinic/Center 18 Arbor Lane, Dewitt, NY 13214 2011-04-13
1003105768 David William Hansen Pediatrics 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 2011-04-04
1558676411 Jamesville-dewitt Central School District Local Education Agency (LEA) Edinger Drive, Dewitt, NY 13214 2010-08-16
Find all providers in zip 13214

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265590103 Childrenseye Care Physicians of Cny, LLC Ophthalmology 1810 Erie Blvd E, Syracuse, NY 13210-1230 2006-12-04
1477653657 Ann Barker-griffith Ophthalmology 550 Harrison St Ste 340, Syracuse, NY 13202-3064 2006-09-25
1063462133 Michael J Geiss IIi Ophthalmology 2215 E Genesee St, Syracuse, NY 13210-2219 2006-05-11
1013984681 Stephen W Merriam Ophthalmology 5792 Widewaters Pkwy, Syracuse, NY 13214-1847 2006-03-02
1669456349 Stephen G Spitzer Ophthalmology 5792 Widewaters Pkwy Ste 3, Syracuse, NY 13214-1847 2005-12-06
1528059995 George O Temnycky Ophthalmology 1304 Buckley Rd, Suite 205, Syracuse, NY 13212-4311 2005-11-03
1295723534 Syracuse Eye Physicians,llp Ophthalmology 716 James St, Ste 108, Syracuse, NY 13203-2087 2005-10-11
1871588210 George Robert Hampton Ophthalmology 3107 E Genesee St, Syracuse, NY 13224-1646 2005-09-13
1821091315 Kenneth H Spitzer Ophthalmology 1101 Erie Blvd E, Ste 100, Syracuse, NY 13210-1144 2005-05-27
1760831150 Frank Chin Ophthalmology 301 Prospect Ave, Medical Education, Syracuse, NY 13203-1807 2016-06-07
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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