JACK DODICK M.D. NPI 1023170636

NPI Information

  • NPI: 1023170636
  • Provider Name: JACK DODICK, M.D.
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 535 PARK AVE
    NEW YORK, NY
    ZIP 10065
  • Phone: (212) 288-7638

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NPI Details

Jack Dodick, M.D. is an ophthalmology in New York, NY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Jack Dodick, M.D. NPI is 1023170636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

535 PARK AVE
NEW YORK, NY
ZIP 10065-198
Phone: (212) 288-7638
Fax: (212) 832-0640

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology105324NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1581151MEDICARE PINNEW YORK
2B16906MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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