MEDICARE: EMPIRE VISION CENTER INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	152W00000X	Optometrist
2	332H00000X	Eyewear Supplier
3	156F00000X	Technician/Technologist

General Provider Information

NPI Number	:	1093778763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMPIRE VISION CENTER INC

Provider Business Mailing Address
First Line	:	2921 ERIE BLVD EAST
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13224-1430
Country	:	US
Telephone Number	:	315-446-3145
Fax Number	:	315-445-7675

Provider Business Practice Location Address
First Line	:	125 SHOP CITY PLAZA
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13206-1943
Country	:	US
Telephone Number	:	315-463-7700
Fax Number	:	315-463-2938

Authorized Official
Title or Position	:	SVP
Name	:	MR. ALAN K THROWER
Credential	:
Telephone Number	:	315-446-3145

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	11/04/2008

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Directions to “EMPIRE VISION CENTER INC ” Practice Location

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