Provider Demographics
NPI:1578628301
Name:ORENSTEIN, DAVID STUART (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:STUART
Last Name:ORENSTEIN
Suffix:
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 1:7108 147 ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2004
Mailing Address - Country:US
Mailing Address - Phone:718-261-6512
Mailing Address - Fax:718-460-1769
Practice Address - Street 1:3603 162 ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358
Practice Address - Country:US
Practice Address - Phone:718-353-1220
Practice Address - Fax:718-460-1769
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3777152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00427789Medicaid
0153960001OtherNSC
T31997Medicare UPIN
C51997Medicare ID - Type UnspecifiedEMPIRE
56710Medicare ID - Type UnspecifiedGHI