Dr Gary J Lake, OD in Middletown, NY - Medicare Optometry Provider

Dr Gary J Lake, OD is a medicare enrolled "Optometrist" provider in Middletown, New York. He went to Pennsylvania College Of Optometry and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Jack R Nizewitz And Gary J Lake Pc and his current practice location is 200 Midway Park Dr, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at (845) 343-6919.

Dr Gary J Lake is licensed to practice in New York (license number T5072) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902884695.

Contact Information

	Dr Gary J Lake, OD
	200 Midway Park Dr, Middletown, NY 10940-2642
	(845) 343-6919
	(845) 343-4545

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gary J Lake
Gender	Male
Speciality	Optometry
Experience	35 Years
Location	200 Midway Park Dr, Middletown, New York
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gary J Lake attended and graduated from Pennsylvania College Of Optometry in 1989

NPI Data:

NPI Number: 1902884695
Provider Enumeration Date: 01/04/2006
Last Update Date: 06/25/2010

Medicare PECOS Information:

PECOS PAC ID: 0143342659
Enrollment ID: I20131028000952

Medical Identifiers

Medical identifiers for Dr Gary J Lake such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902884695	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	T5072 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jack R Nizewitz And Gary J Lake Pc	7416076906	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gary J Lake allows following entities to bill medicare on his behalf.

Provider Name	Jack R Nizewitz & Gary J Lake Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952528457 PECOS PAC ID: 7416076906 Enrollment ID: O20140305000490

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gary J Lake is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gary J Lake, OD 200 Midway Park Dr, Middletown, NY 10940-2642 Ph: (845) 343-6919	Dr Gary J Lake, OD 200 Midway Park Dr, Middletown, NY 10940-2642 Ph: (845) 343-6919

Reviews and Comments

Optometrist in Middletown, NY

Dr. Doron Feder, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 Dolson Ave, Middletown, NY 10940 Phone: 845-342-2020 Fax: 845-342-5934
Dr. Anthony Joseph Bradt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 470 Route 211 E, Middletown, NY 10940 Phone: 845-342-0426
Federoptics Corp Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 Dolson Ave, Middletown, NY 10940 Phone: 845-342-2020 Fax: 845-342-5934
Middletown Eye Care Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 North Galleria Drive Ste 26, Middletown, NY 10941 Phone: 845-692-0709
Eye To Eye Vision Centers Optometrist Medicare: Medicare Enrolled Practice Location: 1 Galleria Dr Ste 128, Middletown, NY 10941 Phone: 845-692-2020
Victor Umansky, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1 N Galleria Dr, Ste 126, Middletown, NY 10941 Phone: 845-692-5800 Fax: 845-692-5880
Eye To Eye Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: One North Galleria Drive Suite 128, Eye To Eye Vision Center, Middletown, NY 10941 Phone: 845-692-2020

Dr Gary J Lake, OD - Medicare Optometrist in Middletown, NY