Provider Demographics
NPI:1669617262
Name:NORTHEAST EYE BILLING
Entity type:Organization
Organization Name:NORTHEAST EYE BILLING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:LOPASIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-690-7020
Mailing Address - Street 1:PO BOX 5346
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-0865
Mailing Address - Country:US
Mailing Address - Phone:518-690-7021
Mailing Address - Fax:518-690-7022
Practice Address - Street 1:711 TROY SCHENECTADY ROAD
Practice Address - Street 2:SUITE 109
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2454
Practice Address - Country:US
Practice Address - Phone:518-690-7021
Practice Address - Fax:518-690-7022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207362-1174400000X
NY209679-1174400000X
NY210538-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty