Organization
PINE BUSH OPTOMETRIC PC
Active
Other names
Pine Bush Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PAGAN OD (OWNER)
(845) 744-2003
Entity
Organization
Contact information
Practice address
70 MAIN STREET, PINE BUSH, NY 12566
(845) 744-2003
(845) 744-6260
Mailing address
PO BOX 949, PINE BUSH, NY 12566-0949
(845) 744-2003
(845) 744-6260
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006249-1
NY
Other
Enumeration date
09/14/2006
Last updated
08/14/2015
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