Provider Demographics
NPI:1538640594
Name:PEDIATRIC OPHTHALMIC CARE PC
Entity Type:Organization
Organization Name:PEDIATRIC OPHTHALMIC CARE PC
Other - Org Name:PEDIATRIC OPHTHALMIC CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RHODORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-981-9800
Mailing Address - Street 1:40 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4119
Mailing Address - Country:US
Mailing Address - Phone:212-981-9806
Mailing Address - Fax:
Practice Address - Street 1:40 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4119
Practice Address - Country:US
Practice Address - Phone:212-981-9806
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus SpecialistGroup - Single Specialty