IndividualActive
Mary Jackowski, PHD OD
NPI 1154367498 · Low Vision Rehabilitation Optometrist · Syracuse, NY
Provider details
- NPI number
- 1154367498
- Entity type
- Individual
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Credential
- PHD OD
- Sex
- Female
- Sole proprietor
- No
- License
- TUV0049071 (NY)
Practice location
1101 Erie Blvd East
Syracuse, NY 13210-3087
Phone: (315) 422-4412
Fax: (315) 422-4690
Mailing address
133 Sunrise Dr
Syracuse, NY 13205-2818
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.