EYE PLASTIC AND RECONSTRUCTIVE SURGERY OF CNY PC
NPI 1548351935
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in North Syracuse, NY

Active since September 28, 2006
3400 VICKERY RD, SUITE A, NORTH SYRACUSE, NY 13212(315) 422-3937(315) 422-4432 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2025, Jul 6, 2020 (2 updates tracked since 2020).

About Eye Plastic And Reconstructive Surgery Of Cny Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE PLASTIC AND RECONSTRUCTIVE SURGERY OF CNY PC (NPI 1548351935) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in North Syracuse, New York and active in the NPI registry since September 2006. The organization lists Thomas A Bersani, Owner, as its authorized official.

NPPES Registry Identity

NPI1548351935
Entity TypeOrganization
Primary Taxonomy207WX0200X
Legal Business NameEYE PLASTIC AND RECONSTRUCTIVE SURGERY OF CNY PC
Location Address3400 VICKERY RD, SUITE ANorth Syracuse, NY 13212-4540
Mailing AddressPo Box 2003East Syracuse, NY 13057-4503 · (315) 446-3904 · Fax (315) 445-2936
Fax(315) 422-4432
Organization SubpartNo
Authorized OfficialThomas A BersaniOwner · (315) 422-3937
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 19, 20252 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1548351935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X
3400 VICKERY RD, North Syracuse, NY 13212

Other Names 1

Other NameEye Plastic & Reconstructive Surgery

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Plastic And Reconstructive Surgery Of Cny Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20090624000535Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Eye Plastic And Reconstructive Surgery Of Cny PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1083614226
3400 VICKERY RD SUITE A
North Syracuse, NY 13212
(315) 422-3937
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1760645790
3400 VICKERY RD SUITE A
North Syracuse, NY 13212
(315) 422-3937
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1003107400
3400 VICKERY RD STE A
North Syracuse, NY 13212
(315) 422-3937
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1891951455
3400 VICKERY RD SUITE A
Syracuse, NY 13212
(315) 422-3937
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Plastic And Reconstructive Surgery Of Cny PC's NPI number?

The NPI number for Eye Plastic And Reconstructive Surgery Of Cny PC is 1548351935. It was assigned to this organization in the NPPES registry on September 28, 2006. The provider is also known as Eye Plastic & Reconstructive Surgery.

Where is Eye Plastic And Reconstructive Surgery Of Cny PC located?

Eye Plastic And Reconstructive Surgery Of Cny PC is located at 3400 Vickery Rd Suite A, North Syracuse, NY 13212. The listed phone number is (315) 422-3937.

What is Eye Plastic And Reconstructive Surgery Of Cny PC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Eye Plastic And Reconstructive Surgery Of Cny PC enrolled in Medicare?

Yes. Eye Plastic And Reconstructive Surgery Of Cny PC is registered in the Medicare PECOS enrollment system.

When is Eye Plastic And Reconstructive Surgery Of Cny PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eye Plastic And Reconstructive Surgery Of Cny PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Eye Plastic And Reconstructive Surgery Of Cny PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eye Plastic And Reconstructive Surgery Of Cny PC was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.