Organization
PROFESSIONAL OPTOMETRY DOWNTOWN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA PERREAULT OPTOMETRIST (PRESIDENT)
(518) 463-1707
Entity
Organization
Contact information
Practice address
65 WOLF RD STE 106, ALBANY, NY 12205-2621
(518) 463-1707
(518) 949-2499
Mailing address
65 WOLF RD STE 106, ALBANY, NY 12205-2621
(518) 463-1707
(518) 949-2499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005329
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405842001
BLUE SHIELD
NY
05
—
01734192
—
NY
01
—
10020324
CDPHP
NY
01
—
1191170001
MEDICARE DME
—
01
—
489
DAVIS VISION
NY
01
—
59118
MVP
NY
01
—
C2A901
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
04/19/2007
Last updated
02/07/2022
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