Provider Demographics
NPI:1861662090
Name:ORCHARD EYECARE, LLC
Entity Type:Organization
Organization Name:ORCHARD EYECARE, LLC
Other - Org Name:H OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:917-538-0641
Mailing Address - Street 1:76 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4511
Mailing Address - Country:US
Mailing Address - Phone:212-533-1707
Mailing Address - Fax:212-533-1779
Practice Address - Street 1:76 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4511
Practice Address - Country:US
Practice Address - Phone:212-533-1707
Practice Address - Fax:212-533-1779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006376152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty