Provider Demographics
NPI:1396205282
Name:WHITE PLAINS EYE CARE 1 INC
Entity Type:Organization
Organization Name:WHITE PLAINS EYE CARE 1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:805-280-1776
Mailing Address - Street 1:598 TUCKAHOE RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5713
Mailing Address - Country:US
Mailing Address - Phone:914-337-7775
Mailing Address - Fax:718-504-4960
Practice Address - Street 1:15 N BROADWAY
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-2214
Practice Address - Country:US
Practice Address - Phone:914-732-1732
Practice Address - Fax:718-504-4960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-25
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1073885554OtherOPTOMETRY
NY1619190915OtherOPTOMETRY