DR. DANIEL LACK O.D. NPI 1902861685

NPI Information

NPI: 1902861685
Provider Name: DR. DANIEL LACK, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

Address:
117 PENSTOCK LN
LAKE KATRINE, NY
ZIP 12449
Phone: (845) 336-6124
Get Directions

DR. Daniel Lack, O.D. is a vision therapy optometrist in Lake Katrine, NY. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Daniel Lack, O.D. NPI is 1902861685. 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:

117 PENSTOCK LN
LAKE KATRINE, NY
ZIP 12449-240
Phone: (845) 336-6124

The enumeration date for this NPI number is 4/18/2006 and was last updated on 7/8/2007.

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
1	152WV0400X	Optometrist	Vision Therapy	TUV003890	NEW YORK	Yes

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
1	T22489	MEDICARE UPIN	NEW YORK
2	C35831	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	01125268	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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