Provider Demographics
NPI:1356147078
Name:INSIGHT OPTOMETRY P.C
Entity type:Organization
Organization Name:INSIGHT OPTOMETRY P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIILI-MAZNIKER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:646-420-2923
Mailing Address - Street 1:348 CLARKE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-6138
Mailing Address - Country:US
Mailing Address - Phone:917-454-8843
Mailing Address - Fax:
Practice Address - Street 1:3161 AMBOY RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2793
Practice Address - Country:US
Practice Address - Phone:917-454-8843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty