MEDICARE: FOCUS VISION DEVELOPMENT OPTOMETRY PLLC

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

General Provider Information

NPI Number	:	1154032456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOCUS VISION DEVELOPMENT OPTOMETRY PLLC

Provider Business Mailing Address
First Line	:	4933 BULRUSH RD
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13215-1271
Country	:	US
Telephone Number	:	315-660-3550
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 TOWNSHIP BLVD STE 60
Second Line	:
City	:	CAMILLUS
State	:	NY
Zip	:	13031-1793
Country	:	US
Telephone Number	:	315-660-3550
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KELLY CHAJKA
Credential	:	OD
Telephone Number	:	315-660-3550

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	01/13/2026

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