Provider Demographics
NPI:1205953452
Name:HERINGER, EMIL KENNETH (OD)
Entity type:Individual
Prefix:
First Name:EMIL
Middle Name:KENNETH
Last Name:HERINGER
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 1:520 8TH AVE
Mailing Address - Street 2:STE 900
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6507
Mailing Address - Country:US
Mailing Address - Phone:212-729-5300
Mailing Address - Fax:212-279-0498
Practice Address - Street 1:301 MOUNT HOPE AVE
Practice Address - Street 2:COHEN'S FASHION OPTICAL, #24
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-2130
Practice Address - Country:US
Practice Address - Phone:973-366-2072
Practice Address - Fax:973-366-4371
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4406152W00000X
NY4292152W00000X
CT1065152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist