Provider Demographics
NPI:1760408686
Name:STEINMETZ, THOMAS (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:STEINMETZ
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 1:401 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-2413
Mailing Address - Country:US
Mailing Address - Phone:516-374-3320
Mailing Address - Fax:516-374-3321
Practice Address - Street 1:1320 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-3802
Practice Address - Country:US
Practice Address - Phone:718-435-0220
Practice Address - Fax:718-854-8764
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYV003678152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00422362Medicaid
NYT48944Medicare UPIN
NY00422362Medicaid