Middletown Eye Care Od Pc

LBN: Middletown Eye Care Od Pc
Middletown Eye Care Od Pc is an health care organization with primary practice located at 1 North Galleria Drive Ste 26 , Middletown NY 10941-3018. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Middletown Eye Care Od Pc can be contacted via phone (845) 692-0709, or through Matos, Grace via phone (845) 692-0709.

Contact Information

Primary practice address
1 North Galleria Drive Ste 26 Middletown NY 10941-3018
Phone: (845) 692-0709
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matos, Grace Doctor of Optometry (OD)
Phone: (845) 692-0709

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1255084729
LBN Legal business name Middletown Eye Care Od Pc
DBA Doing business as
Authorized official Matos, Grace Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 3rd, 2022
Last updated Feb 3rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255084729 NPPES
New York MEDICAID 1760683437
New York MEDICAID 1700088481

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