MEDICARE: DR. AMNON BARON OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	T003331	NY

General Provider Information

NPI Number	:	1003877309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMNON BARON OD

Provider Business Mailing Address
First Line	:	2921 ERIE BLVD EAST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13224
Country	:	US
Telephone Number	:	315-445-7465
Fax Number	:	315-445-7675

Provider Business Practice Location Address
First Line	:	1009 CENTRAL AVE
Second Line	:	EMPIRE VISION CENTERS
City	:	ALBANY
State	:	NY
Zip	:	12206
Country	:	US
Telephone Number	:	518-489-8575
Fax Number	:	518-489-8578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	04/19/2026

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