Provider Demographics
NPI:1700890696
Name:SCOTT EARLE, O.D., P.C.
Entity Type:Organization
Organization Name:SCOTT EARLE, O.D., P.C.
Other - Org Name:LAGRANGE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:EARLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-471-7400
Mailing Address - Street 1:488 FREEDOM PLAINS RD
Mailing Address - Street 2:SUITE 137
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-2689
Mailing Address - Country:US
Mailing Address - Phone:845-471-7400
Mailing Address - Fax:845-471-7531
Practice Address - Street 1:488 FREEDOM PLAINS RD
Practice Address - Street 2:SUITE 137
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-2689
Practice Address - Country:US
Practice Address - Phone:845-471-7400
Practice Address - Fax:845-471-7531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV 006869152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty