IndividualActive
Stacey Nutting, OPHTHALMIC DISPENSER
NPI 1336709518 · Optician · Syracuse, NY
Stacey Nutting, OPHTHALMIC DISPENSER is a Optician provider in Syracuse, NY (NPI 1336709518).
Provider details
- NPI number
- 1336709518
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- OPHTHALMIC DISPENSER
- Sex
- Female
- Sole proprietor
- No
- License
- 008389-1 (NY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847
Phone: (315) 422-4412
Fax: (315) 373-0164
Street-level locationGet directions
Mailing address
5792 Widewaters Pkwy Ste 101
Syracuse, NY 13214-1847
Registry dates
- Enumerated
- 2019-06-19
- Last updated
- 2019-06-19
Frequently asked questions
- What is Stacey Nutting's NPI number?
- Stacey Nutting's National Provider Identifier (NPI) is 1336709518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Nutting's specialty?
- Stacey Nutting is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Stacey Nutting located?
- Stacey Nutting's practice location on file with NPPES is 5792 Widewaters Pkwy Ste 101, Syracuse, NY 13214-1847.
- What is Stacey Nutting's phone number?
- The practice phone number listed in the NPPES registry for Stacey Nutting is (315) 422-4412.
- Is Stacey Nutting's NPI active?
- Yes — Stacey Nutting's NPI (1336709518) is active in the NPPES registry as of the last update on 2019-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.