| Dr Gary J Lake, OD | |
|
200 Midway Park Dr, Middletown, NY 10940-2642 | |
| (845) 343-6919 | |
| (845) 343-4545 |
| Full Name | Dr Gary J Lake |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 200 Midway Park Dr, Middletown, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902884695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T5072 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jack R Nizewitz And Gary J Lake Pc | 7416076906 | 2 |
| Provider Name | Jack R Nizewitz & Gary J Lake Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952528457 PECOS PAC ID: 7416076906 Enrollment ID: O20140305000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary J Lake, OD 200 Midway Park Dr, Middletown, NY 10940-2642 Ph: (845) 343-6919 | Dr Gary J Lake, OD 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 | |
V Z Optical Corp Optometrist Medicare: Medicare Enrolled Practice Location: 555 Rte 211, Ste 3, Middletown, NY 10941 Phone: 845-692-2020 | |
Victor Umansky, O.D. Optometrist Medicare: Not Enrolled in Medicare 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 |