Provider Demographics
NPI:1427039817
Name:ADLER, KARL P JR (OD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:P
Last Name:ADLER
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 WASHINGTON ST
Mailing Address - Street 2:WISE VISION AND HEARING
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4842
Mailing Address - Country:US
Mailing Address - Phone:201-792-1991
Mailing Address - Fax:201-792-0030
Practice Address - Street 1:1044 STATE ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12307-1508
Practice Address - Country:US
Practice Address - Phone:518-370-1441
Practice Address - Fax:518-395-9431
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV007967152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02995513Medicaid
NY53099AOtherMEDICARE PIN
NY331833OtherMEDICARE OSCAR