XAVIER OPTICAL, INC.


Address: 218 Harrison St, Syracuse, NY 13202-3041
Phone: 3153960325

XAVIER OPTICAL, INC. (NPI# 1033413505) 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) 1033413505
Entity Type Organization
Organization Name XAVIER OPTICAL, INC.
Practice Address 218 Harrison St
Syracuse
NY 13202-3041
Practice Telephone 3153960325
Practice Fax Number 3153960497
Mailing Telephone 3152994074
Enumeration Date 2010-12-27
Last Update Date 2019-01-14
Authorized Official Name MR. BRYAN X SART (PRESIDENT & CEO)
Authorized Official Telephone 3152994074
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist Eye and Vision Services Providers
N 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers
Y 156F00000X Technician/Technologist Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03340425 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
819 S Salina St, Syracuse, NY 132023527 3153960325

Office Location

Street Address 218 HARRISON ST
City SYRACUSE
State NY
Zip Code 13202-3041

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1255804456 Lisa Blachford Registered Nurse 421 Montgomery St Room 80, Syracuse, NY 13202 2019-01-10
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1245739713 Telibra Lloyd Counselor 375 W Onondaga St Suite 10, Syracuse, NY 13202 2018-02-09
1326574534 Wendell Covell Social Worker 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 2017-05-08
1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
1427429760 Joshua Caryl Counselor 319 East Water Street, Syracuse, NY 13202 2015-10-13
1093140956 Jennifer B Mccaffrey Nurse Practitioner 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 2013-09-11
1336581552 Emily Renee Haggerty Hospitalist 500 Harrison St, 1705a, Syracuse, NY 13202 2013-07-30
1134470933 Tanya Marie Harlec Mcguire Genetic Counselor, MS 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 2012-09-20
1104176320 Mary Jo Maestri Genetic Counselor, MS 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 2012-09-14
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Taxonomy Information

Taxonomy Code 156F00000X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist

Taxonomy Definition

A broad category grouping different kinds of technologists and technicians. See individual definitions.

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1518450030 Eduard Galper Technician/Technologist 2062 E 36th St, Brooklyn, NY 11234 2018-06-09
1821598517 Michele Marie Hunt Technician/Technologist 13 Seth Sq, Plattsburgh, NY 12901-1777 2018-02-19
1992204606 Nicole Nowasell Technician/Technologist 83 Yvonne Ave, Cheektowaga, NY 14225-1133 2018-02-08
1194239897 Michael Shklyar Technician/Technologist 1664 President St Apt 4k, Brooklyn, NY 11213-5579 2017-11-17
1295248151 Pauletta Dickerson Technician/Technologist 18009 Jamaica Ave, Jamaica, NY 11432-5620 2017-11-13
1427465814 Dara Goldrick Technician/Technologist 12 Pvt Lovett Ct, Blauvelt, NY 10913-1247 2014-07-17
1437410081 Brooke A. Jensen Technician/Technologist 99305 Hickory Dr, Fort Drum, NY 13603-3416 2012-05-30
1275825481 Irfan Ahmed Technician/Technologist 3857 Kings Hwy Apt 6a, Brooklyn, NY 11234-2920 2011-05-05
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Competitor

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City SYRACUSE
Zip Code 13202

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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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