Provider Demographics
NPI:1235539909
Name:TODD PEREIRA OPTOMETRIST PLLC
Entity Type:Organization
Organization Name:TODD PEREIRA OPTOMETRIST PLLC
Other - Org Name:SCHENECTADY EYECARE & EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREIRA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:518-374-1882
Mailing Address - Street 1:1417 UNION ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-3009
Mailing Address - Country:US
Mailing Address - Phone:518-374-1882
Mailing Address - Fax:518-374-1777
Practice Address - Street 1:1417 UNION ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3009
Practice Address - Country:US
Practice Address - Phone:518-374-1882
Practice Address - Fax:518-374-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty