Provider Demographics
NPI:1164409132
Name:CITY OPTICIANS INC
Entity Type:Organization
Organization Name:CITY OPTICIANS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:SACHS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:315-422-6088
Mailing Address - Street 1:441 S SALINA ST
Mailing Address - Street 2:STE 355
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-2405
Mailing Address - Country:US
Mailing Address - Phone:315-422-6088
Mailing Address - Fax:315-422-0098
Practice Address - Street 1:441 S SALINA ST
Practice Address - Street 2:STE 355
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-2405
Practice Address - Country:US
Practice Address - Phone:315-422-6088
Practice Address - Fax:315-422-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
000911314001OtherHEALTH NOW
NY00449770Medicaid
595204OtherMVP
000911314001OtherHEALTH NOW
NY00449770Medicaid