Individual
DR. CHARLES M SANGEORGE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000390184002
COMMUNITY BLUE
NY
01
—
000390184004
COMMUNITY BLUE
NY
01
—
141345
COLE MANAGED VISION
NY
01
—
17207
SPECTERA
NY
01
—
50527
DAVIS VISION
NY
01
—
919920
BLOCK VISION
NY
01
—
988665
HIGHMARK BC & BS
NY
01
—
NY3441
EYEMED
NY
Enumeration date
06/28/2005
Last updated
01/11/2008
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