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Contact Information

PINE BUSH OPTOMETRIC PC
70 MAIN STREET
PINE BUSH, NY12566
 Phone: 845-744-2003
 Fax: 845-744-6260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for PINE BUSH OPTOMETRIC PC

NPI Number 1326143173
LBN Legal business name PINE BUSH OPTOMETRIC PC
Authorized official RICHARD PAGAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 08/14/2015 - About 11 years ago
Identifiers
NY License # TUV006249-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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