Michael David Lack, OD | |
450 Margaret St, Plattsburgh, NY 12901-1755 | |
(518) 566-2020 | |
(518) 561-5390 |
Full Name | Michael David Lack |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 450 Margaret St, Plattsburgh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538119516 | NPI | - | NPPES |
00568070 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV003563-1 (New York) | Primary |
Provider Name | Eye Care For The Adirondacks Associates In Ophthalmology, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1518956515 PECOS PAC ID: 9739174822 Enrollment ID: O20040419000071 |
Mailing Address | Practice Location Address |
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Michael David Lack, OD 450 Margaret St, Plattsburgh, NY 12901-1755 Ph: (518) 566-2020 | Michael David Lack, OD 450 Margaret St, Plattsburgh, NY 12901-1755 Ph: (518) 566-2020 |
Brett Mcleod Paepke, OD Optometrist Medicare: Medicare Enrolled Practice Location: 202 West Bay Plz, Plattsburgh, NY 12901 Phone: 518-563-5460 Fax: 888-244-5003 | |
Firstview Eye Care Doctor Of Optometry, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 202 West Bay Plaza, Plattsburgh, NY 12901 Phone: 518-563-5460 Fax: 888-244-5003 | |
Dr. Alok Sharma, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 110 Consumer Square, Empire Vision Centers, Plattsburgh, NY 12901 Phone: 518-562-0200 Fax: 518-562-3647 | |
North Country Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 292 Cornelia St, Building 2, Plattsburgh, NY 12901 Phone: 518-563-7400 | |
Gerald V Harrell Od Pc Professional Corporation Nys Optometrist Medicare: Not Enrolled in Medicare Practice Location: 70 Court Street, Plattsburgh, NY 12901 Phone: 518-563-2430 Fax: 518-563-2474 | |
Dr. Ivanna Stepanivna Grynyk, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 450 Margaret St, Plattsburgh, NY 12901 Phone: 518-566-2020 | |
Dr. Sweta Das, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 110 Consumer Sq, Plattsburgh, NY 12901 Phone: 518-562-0200 |