Provider Demographics
NPI:1467541771
Name:SAWICKY INC, DBA CARTER OPTICIANS
Entity Type:Organization
Organization Name:SAWICKY INC, DBA CARTER OPTICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWICKY
Authorized Official - Suffix:
Authorized Official - Credentials:LIC OPTICIAN
Authorized Official - Phone:518-828-7433
Mailing Address - Street 1:6644 US ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-8912
Mailing Address - Country:US
Mailing Address - Phone:518-828-7433
Mailing Address - Fax:518-828-9968
Practice Address - Street 1:6644 US ROUTE 9
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-8912
Practice Address - Country:US
Practice Address - Phone:518-828-7433
Practice Address - Fax:518-828-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV 4816152W00000X
NY4138156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNY4138OtherEYEMED
NY901028OtherBLOCK VISION
NY10001777OtherCDPHP
NY597417OtherMVP
NY901028OtherBLOCK VISION