Provider Demographics
NPI:1508900242
Name:DUTCHESS OPTOMETRY, LLP
Entity Type:Organization
Organization Name:DUTCHESS OPTOMETRY, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAYEA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-758-8818
Mailing Address - Street 1:7381 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1745
Mailing Address - Country:US
Mailing Address - Phone:845-758-8818
Mailing Address - Fax:845-758-9215
Practice Address - Street 1:7381 S BROADWAY
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1745
Practice Address - Country:US
Practice Address - Phone:845-758-8818
Practice Address - Fax:845-758-9215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY903935OtherBLOCK
NYC211C1OtherBC/BS
NYC26381OtherBC/BS
NY10032271OtherCDPHP
NY597054OtherMVP
NY939167OtherMVP
NY950427OtherMVP
NYC93911OtherBC/BS
NY0244570002Medicare NSC