MEDICARE: DR. ROBERT SILVERMAN O.D.

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	TUV003299	NY

General Provider Information

NPI Number	:	1720231962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT SILVERMAN O.D.

Provider Business Mailing Address
First Line	:	2921 ERIE BLVD E
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13224-1430
Country	:	US
Telephone Number	:	315-446-3145
Fax Number	:	315-446-4981

Provider Business Practice Location Address
First Line	:	3039 ROUTE 50
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2937
Country	:	US
Telephone Number	:	518-580-1117
Fax Number	:	518-580-1311

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

Provider Enumeration Date	:	10/31/2008
Last Update Date	:	10/31/2008

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