Provider Demographics
NPI:1639342850
Name:MENDEL OPTICAL INSIGHT INC.
Entity Type:Organization
Organization Name:MENDEL OPTICAL INSIGHT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MENDEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-939-2224
Mailing Address - Street 1:19A RYE RIDGE PLZ
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2822
Mailing Address - Country:US
Mailing Address - Phone:914-939-2224
Mailing Address - Fax:914-939-4382
Practice Address - Street 1:19A RYE RIDGE PLZ
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2822
Practice Address - Country:US
Practice Address - Phone:914-939-2224
Practice Address - Fax:914-939-4382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY3275152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNY3275OtherLICENSE NUMBER
NY00331457Medicaid
NY0158390003Medicare NSC
NYU42768Medicare UPIN
NYC26801Medicare PIN