Organization
EAST FISHKILL EYE ASSOCIATES OPTOMETRISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH ROODNER O.D. (OPTOMETRIST)
(845) 227-2233
Entity
Organization
Contact information
Practice address
857 ROUTE 82, HOPEWELL JUNCTION, NY 12533
(845) 227-2233
(845) 227-4186
Mailing address
PO BOX 459, HOPEWELL JUNCTION, NY 12533
(845) 227-2233
(845) 227-4186
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV004051
NY
152W00000X
Optometrist
Primary
TUV004725
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2T431
BLUE CROSS BLUE SHIELD
NY
01
—
C2T441
BLUE CROSS BLUE SHIELD
NY
Enumeration date
12/01/2006
Last updated
08/11/2015
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