Provider Demographics
NPI:1861454340
Name:TRESSER, ANDREW (OD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:TRESSER
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 666
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-0666
Mailing Address - Country:US
Mailing Address - Phone:845-635-3700
Mailing Address - Fax:845-635-8317
Practice Address - Street 1:1539 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-7834
Practice Address - Country:US
Practice Address - Phone:845-635-3700
Practice Address - Fax:845-635-8317
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-03
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3141152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY9146353700OtherVSP
NY355OtherDAVIS
NYP3028020OtherOXFORD
NY597113OtherMVP
NYLDOtherGVS
NY597113OtherMVP
NY355OtherDAVIS