Penn Yan Eye Care

LBN: Penn Yan Optometry Pc
Penn Yan Eye Care is an health care organization with primary practice located at 163 Main St , Penn Yan NY 14527-1284. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Managed Care Organizations / Exclusive Provider Organization, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Penn Yan Optometry Pc can be contacted via phone (315) 536-9941, or through Smith, Andrew Paul via phone (315) 536-9941.

Contact Information

Primary practice address
163 Main St Penn Yan NY 14527-1284
Fax: (315) 536-9321
Website:
Authorized official contact:
Name: Smith, Andrew Paul Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV005146-J New York
Managed Care Organizations / Exclusive Provider Organization 302F00000X TUV005146-J New York
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X TUV005146-J New York

Profile Details

NPI number 1275600496
LBN Legal business name Penn Yan Optometry Pc
DBA Doing business as Penn Yan Eye Care
Authorized official Smith, Andrew Paul Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1275600496 NPPES
New York Other 101985CS PREFERRED CARE
New York Other 135462CT PREFERRED CARE

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