Provider Demographics
NPI:1770784423
Name:ALGIERI, MICHAEL ANTHONY
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:ALGIERI
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:DEAN
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:PEARLE VISION CENTER DBA JCA OPTICAL
Mailing Address - Street 2:1053 ROUTE 58
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901
Mailing Address - Country:US
Mailing Address - Phone:631-727-7777
Mailing Address - Fax:631-727-7822
Practice Address - Street 1:1053 OLD COUNTRY RD
Practice Address - Street 2:PEARLE VISION CENTER
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2019
Practice Address - Country:US
Practice Address - Phone:631-727-7777
Practice Address - Fax:631-727-7822
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5271-2152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist