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
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