MR. ROBERT BECERRA (NPI# 1609382993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609382993 |
| Entity Type | Individual |
| Full Name | MR. ROBERT BECERRA |
| Practice Address |
6438 Basile Rowe East Syracuse NY 13057-3900 |
| Practice Telephone | 3154349168 |
| Practice Fax Number | 3154349182 |
| Mailing Telephone | 3154349168 |
| Mailing Fax Number | 3154349182 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
009442-1 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437686771 | Robert Becerra | Pharmacist | 3411 Murchison Rd, Fayetteville, NC 28311-2807 | 2017-05-17 |
| Street Address |
6438 BASILE ROWE |
| City | EAST SYRACUSE |
| State | NY |
| Zip Code | 13057-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407894306 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6438 Basile Rowe, East Syracuse, NY 13057-3900 | 2006-06-03 |
| 1023292448 | Kevin Howard Ridgeway | Pharmacist | 6438 Basile Rowe, East Syracuse, NY 13057-3900 | 2007-12-20 |
| 1447301080 | Dr Howard J Kass | Optometrist | 6438 Basile Rowe, Box 57, East Syracuse, NY 13057-3900 | 2007-01-12 |
| 1659475853 | Wal-mart Stores East, Lp | Technician/Technologist | 6438 Basile Rowe, East Syracuse, NY 13057-3900 | 2006-09-11 |
| 1235156472 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 6438 Basile Rowe, East Syracuse, NY 13057-3900 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891335527 | Amanda Christian | Clinic/Center | Hcr Home Care- 6007 Fair Lakes Rd, East Syracuse, NY 13057 | 2020-01-10 |
| 1437690104 | Wojtyna Dental LLC | Dentist | 6600 Weighlock Drive, East Syracuse, NY 13057 | 2017-03-15 |
| 1538609854 | Marie Elena Dow | Health Educator | 6576 Kirkville Road, East Syracuse, NY 13057 | 2017-03-06 |
| 1821534470 | Maureen Lanious | Massage Therapist | 6701 Manlius Center Road, Avanti Healing Arts, East Syracuse, NY 13057 | 2017-01-06 |
| 1629526058 | A Woman's Resource | Home Health | 5860 Bowman Road, East Syracuse, NY 13057 | 2016-09-14 |
| 1386029221 | Apollo Physical Therapy, Pllc | Physical Therapist | 6304 Carrier Parkway, East Syracuse, NY 13057 | 2015-07-21 |
| 1457734386 | Podiatry Services of Central New York, PC | Podiatrist | 6647 Kirkville Road, East Syracuse, NY 13057 | 2015-07-09 |
| 1730592163 | Plev Bc Plc | Dentist | 6600 Weighlock Dr, East Syracuse, NY 13057 | 2014-06-03 |
| 1821418740 | Kelsey Spradlin | Speech-Language Pathologist | 6400 Fremont Rd, East Syracuse, NY 13057 | 2014-04-17 |
| 1992044945 | Sizewise Rentals | Durable Medical Equipment & Medical Supplies | 6504 Basile Rowe, East Syracuse, NY 13057 | 2013-02-12 |
| Find all providers in zip 13057 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244564 | Stacy Michele Daniel | Technician/Technologist | 5781 Bridge St Ste 32, East Syracuse, NY 13057-2944 | 2019-09-16 |
| 1437790110 | Sm Daniel, Inc | Technician/Technologist | 5781 Bridge St Ste 32, East Syracuse, NY 13057-2944 | 2019-10-03 |
| 1659475853 | Wal-mart Stores East, Lp | Technician/Technologist | 6438 Basile Rowe, East Syracuse, NY 13057-3900 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
| City | EAST SYRACUSE |
| Zip Code | 13057 |
Please comment or provide details below to improve the information on MR. ROBERT BECERRA.
| 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.