Organization
PENN YAN OPTOMETRY PC
Active
Organization
PENN YAN OPTOMETRY PC
Active
Other names
Penn Yan Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW PAUL SMITH O.D. (OPTOMETRIST)
(315) 536-9941
Entity
Organization
Contact information
Practice address
163 MAIN ST, PENN YAN, NY 14527-1284
(315) 536-9941
(315) 536-9321
Mailing address
163 MAIN ST, PENN YAN, NY 14527-1284
(315) 536-9941
(315) 536-9321
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV005146-J
NY
302F00000X
Exclusive Provider Organization
TUV005146-J
NY
332H00000X
Eyewear Supplier
Primary
TUV005146-J
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101985CS
PREFERRED CARE
NY
01
—
135462CT
PREFERRED CARE
NY
Enumeration date
11/30/2006
Last updated
09/11/2025
Update your record
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