Organization
MDP OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PUPPARO O.D. (OWNER)
(646) 475-0960
Entity
Organization
Contact information
Practice address
750 COLUMBUS AVE, NEW YORK, NY 10025-6464
(510) 545-2020
Mailing address
750 COLUMBUS AVE, NEW YORK, NY 10025-6464
(646) 475-0960
(646) 475-0961
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
05/19/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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