Provider Demographics
NPI:1942323696
Name:EYECARE OPHTHALMOLOGY PLLC
Entity Type:Organization
Organization Name:EYECARE OPHTHALMOLOGY PLLC
Other - Org Name:EYECARE FOR YOU
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RABIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-634-1190
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13214-0028
Mailing Address - Country:US
Mailing Address - Phone:315-634-1190
Mailing Address - Fax:315-634-1194
Practice Address - Street 1:792 N MAIN ST
Practice Address - Street 2:SUITE 200B
Practice Address - City:NORTH SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-1644
Practice Address - Country:US
Practice Address - Phone:315-634-1190
Practice Address - Fax:315-634-1194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA1420Medicare PIN
NYAA1421Medicare PIN
NY4758900001Medicare NSC