Provider Demographics
NPI:1710948641
Name:CZAPLA, ERNEST EDWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:EDWARD
Last Name:CZAPLA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 ERIE BLVD E
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224
Mailing Address - Country:US
Mailing Address - Phone:315-445-7465
Mailing Address - Fax:315-445-7675
Practice Address - Street 1:3540 MCKINLEY PKWY
Practice Address - Street 2:EMPIRE VISION CENTERS MCKINLEY MILESTRIP PLAZA
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14219
Practice Address - Country:US
Practice Address - Phone:716-826-1673
Practice Address - Fax:716-826-0560
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0037071152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA8618Medicare PIN
NYRA8617Medicare PIN
NYRA8619Medicare PIN
U30589Medicare UPIN
RA8620Medicare ID - Type Unspecified