Provider Demographics
NPI:1164644852
Name:OPTOMETRIC EYECARE OF ROCKLAND, P.C.
Entity Type:Organization
Organization Name:OPTOMETRIC EYECARE OF ROCKLAND, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:T
Authorized Official - Last Name:ENG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-267-2888
Mailing Address - Street 1:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-0176
Mailing Address - Country:US
Mailing Address - Phone:845-267-2888
Mailing Address - Fax:845-267-3305
Practice Address - Street 1:35 LAKE RD
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-2255
Practice Address - Country:US
Practice Address - Phone:845-267-2888
Practice Address - Fax:845-267-3305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005356152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2466353OtherUNITED HEALTHCARE
28042OtherSPECTERA
7707619OtherAETNA PPO
NY182985POtherHIP
402OtherCSEA
160497OtherCOLE VISION
3684202OtherAETNA HMO
6501812OtherGHI
960497OtherEYEMED
NY01657941Medicaid
1276051OtherEYEMED HMO
44768OtherDAVIS VISION
P3207717OtherOXFORD
3C6999OtherHEALTHNET
905625OtherBLOCK VISION
6501812OtherGHI
1276051OtherEYEMED HMO
28042OtherSPECTERA
6161980001Medicare NSC