Provider Demographics
NPI:1295356384
Name:EYES ON HUDSON OPTOMETRY LLC
Entity Type:Organization
Organization Name:EYES ON HUDSON OPTOMETRY LLC
Other - Org Name:EYES ON HUDSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-461-0800
Mailing Address - Street 1:66 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2161
Mailing Address - Country:US
Mailing Address - Phone:914-461-0800
Mailing Address - Fax:
Practice Address - Street 1:66 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2161
Practice Address - Country:US
Practice Address - Phone:914-250-9330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty