Provider Demographics
NPI:1811217227
Name:DR. SCOTT GARBOWITZ OPTOMETRIST P.C.
Entity Type:Organization
Organization Name:DR. SCOTT GARBOWITZ OPTOMETRIST P.C.
Other - Org Name:ROCKLAND EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:GARBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-627-2411
Mailing Address - Street 1:75 W ROUTE 59
Mailing Address - Street 2:224 NANUET MALL
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:75 W ROUTE 59
Practice Address - Street 2:224 NANUET MALL
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2700
Practice Address - Country:US
Practice Address - Phone:845-627-2411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-08
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY5843152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty