XAVIER OPTICAL INC. NPI 1033413505

NPI Information

NPI: 1033413505
Provider Name: XAVIER OPTICAL, INC.
Classification: Technician/Technologist - 156F00000X
Entity Type: Organization
Address:
218 HARRISON ST
SYRACUSE, NY
ZIP 13202
Phone: (315) 396-0325
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XAVIER OPTICAL, INC. is a technician technologist in Syracuse, NY. The provider is a broad category grouping different kinds of technologists and technicians. See individual definitions. XAVIER OPTICAL, INC. NPI is 1033413505. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

218 HARRISON ST
SYRACUSE, NY
ZIP 13202-041
Phone: (315) 396-0325
Fax: (315) 396-0497

The provider's authorized official is Bryan X Sart .
The authorized official title is President & Ceo and has the following contact phone number (315) 299-4074.

The enumeration date for this NPI number is 12/27/2010 and was last updated on 1/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Primary
1	152W00000X	Optometrist	No
2	156F00000X	Technician/Technologist	Yes
3	332H00000X	Eyewear Supplier	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03340425	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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