| Jack R Nizewitz & Gary J Lake Pc | |
|
200 Midway Park Dr, Middletown, NY 10940-2642 | |
| (845) 343-6919 | |
| (845) 343-4545 |
| Full Name | Jack R Nizewitz & Gary J Lake Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 200 Midway Park Dr, Middletown, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952528457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Gary J Lake |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902884695 PECOS PAC ID: 0143342659 Enrollment ID: I20131028000952 |
| Provider Name | Aaron M Punim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306228051 PECOS PAC ID: 4981912912 Enrollment ID: I20150924002046 |
| Provider Name | Debbie Ocampo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902493695 PECOS PAC ID: 3375942089 Enrollment ID: I20210601000889 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack R Nizewitz & Gary J Lake Pc 200 Midway Park Drive, Middletown, NY 10940-4545 Ph: (845) 343-6919 | Jack R Nizewitz & Gary J Lake Pc 200 Midway Park Dr, Middletown, NY 10940-2642 Ph: (845) 343-6919 |
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 | |
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 |