Provider Demographics
NPI:1053642231
Name:ALBANY TROY CATARACT & LASER ASSOCIATES
Entity Type:Organization
Organization Name:ALBANY TROY CATARACT & LASER ASSOCIATES
Other - Org Name:EYECANHEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-274-3123
Mailing Address - Street 1:2222 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-2203
Mailing Address - Country:US
Mailing Address - Phone:518-274-3123
Mailing Address - Fax:518-274-0624
Practice Address - Street 1:2222 6TH AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-2203
Practice Address - Country:US
Practice Address - Phone:518-274-3123
Practice Address - Fax:518-274-0624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000662332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
J100000417Medicare PIN