Provider Demographics
NPI:1861671158
Name:STUART L. SKLAR O.D. P.C.
Entity Type:Organization
Organization Name:STUART L. SKLAR O.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:L
Authorized Official - Last Name:SKLAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-939-0982
Mailing Address - Street 1:29 WATERFRONT PL
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-6001
Mailing Address - Country:US
Mailing Address - Phone:914-939-0982
Mailing Address - Fax:914-939-1041
Practice Address - Street 1:29 WATERFRONT PL
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-6001
Practice Address - Country:US
Practice Address - Phone:914-939-0982
Practice Address - Fax:914-939-1041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0303200001Medicare NSC
NYWCTYV1Medicare PIN