MRS. STACEY LORRAINE NUTTING (NPI# 1336709518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336709518 |
| Entity Type | Individual |
| Full Name | MRS. STACEY LORRAINE NUTTING |
| Credential | OPHTHALMIC DISPENSER |
| Practice Address |
5792 Widewaters Pkwy Ste 101 Syracuse NY 13214-1847 |
| Practice Telephone | 3154224412 |
| Practice Fax Number | 3153730164 |
| Mailing Telephone | 3154224412 |
| Mailing Fax Number | 3153730164 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
008389-1 | NY | Eye and Vision Services Providers |
| Street Address |
5792 WIDEWATERS PKWY STE 101 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13214-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112487 | Charles Teitelbaum | Ophthalmology | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2005-05-31 |
| 1578852992 | Katharine Liegel | Ophthalmology | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2011-04-06 |
| 1417142837 | Scott J Bushinger | Optometrist | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2007-09-10 |
| 1538362058 | Anthony Francis Devincentis IIi | Ophthalmology | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2007-06-11 |
| 1366521759 | Michael David Moore | Ophthalmology | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2006-11-04 |
| 1912014200 | Walter Woodhull Merriam | Ophthalmology | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2006-08-24 |
| 1568578920 | Eye Consultants of Syracuse PC | Optometrist | 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881108983 | Nathan Fowler | Dentist | 3469 Erie Blvd E # 3a, Syracuse, NY 13214 | 2017-11-28 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1124568993 | Jose Alvarez | Dentist | 3425 Erie Blvd E Ste 1, De Witt, NY 13214 | 2017-02-27 |
| 1205258365 | Margaret Miller | Social Worker | 4101 E. Genesee St, Syracuse, NY 13214 | 2014-01-09 |
| 1124367669 | Marni Marie Millet | Counselor | 4309 E Genesee St Ste 4, Syracuse, NY 13214 | 2013-02-04 |
| 1477817401 | Runa Acharya | Internal Medicine | 3229 East Genesee St, Syracuse, NY 13214 | 2012-06-25 |
| 1487949913 | Angela Patricia Mojica Sanabria | Pediatrics | 3229 East Genesee St Ste 1, Syracuse, NY 13214 | 2011-06-13 |
| 1346530169 | Affinity Rehabilitation LLP | Clinic/Center | 18 Arbor Lane, Dewitt, NY 13214 | 2011-04-13 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1558676411 | Jamesville-dewitt Central School District | Local Education Agency (LEA) | Edinger Drive, Dewitt, NY 13214 | 2010-08-16 |
| Find all providers in zip 13214 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073803565 | Steven P Jannen | Technician/Technologist | 4952 Elgin Cir, Syracuse, NY 13215-2261 | 2011-04-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1861611501 | James L Morrison | Technician/Technologist | 989 James St, Syracuse, NY 13203-2610 | 2007-04-24 |
| 1750417879 | Kevin R. Bryant | Technician/Technologist | 2138 W Genesee St, Syracuse, NY 13219-1616 | 2007-02-25 |
| 1316963341 | James T Hallinan | Technician/Technologist | 3554 W Genesee St, Syracuse, NY 13219-2011 | 2006-07-14 |
| 1497048821 | Michael Thomas Hutchins | Technician/Technologist | 819 S Salina St, Syracuse, NY 13202-3527 | 2011-05-18 |
| 1639347065 | Darleen Kay Stoudemire | Technician/Technologist | 2901 Court St, Syracuse, NY 13208-3217 | 2008-02-19 |
| 1376682112 | Mchael Sebastian Gzik | Technician/Technologist | 116 E Washington St, Syracuse, NY 13202-1618 | 2007-02-06 |
| 1508914227 | Wal-mart Stores, Inc. | Technician/Technologist | 2228 W 1700 S, Syracuse, UT 84075 | 2007-01-08 |
| Find all providers in SYRACUSE | ||||
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| 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.