Provider Demographics
NPI:1710925938
Name:ENG, KARL TAT-KUEN (OD)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:TAT-KUEN
Last Name:ENG
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:PO BOX 176
Mailing Address - Street 2:
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920-0176
Mailing Address - Country:US
Mailing Address - Phone:845-267-2888
Mailing Address - Fax:845-267-3305
Practice Address - Street 1:35 LAKE RD
Practice Address - Street 2:
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920-2255
Practice Address - Country:US
Practice Address - Phone:845-267-2888
Practice Address - Fax:845-267-3305
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2015-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005356152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY182985POtherHIP
960497OtherEYEMED
28042OtherSPECTERA
3684202OtherAETNA HMO
44768OtherDAVIS VISION
P3207717OtherOXFORD
3C6999OtherHEALTHNET
NY01657941Medicaid
160497OtherCOLE
2466353OtherUNITED HEALTHCARE
905625OtherBLOCK VISION
1276051OtherEYEMED HMO
6501813OtherGHI
7707619OtherAETNA PPO
6501813OtherGHI
3C6999OtherHEALTHNET
7707619OtherAETNA PPO
P3207717OtherOXFORD
NYU34942Medicare UPIN