Organization
NEW YORK EYE INSTITUTE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY MOCK (MANAGER)
(845) 359-7272
Entity
Organization
Contact information
Practice address
99 DUTCH HILL PLAZA, ORANGEBURG, NY 10962-2185
(845) 359-7272
(845) 279-7388
Mailing address
99 DUTCH HILL PLAZA, ORANGEBURG, NY 10962-2185
(845) 359-7272
(845) 359-7388
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
215965-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52655
DAVIS
NY
01
—
NY5965
EYEMED
NY
01
—
NY63373
SPECTERA
NY
Enumeration date
10/20/2016
Last updated
10/20/2016
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