Provider Demographics
NPI:1841260635
Name:SPIEGEL, WENDY J (OD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:J
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 MEMORIAL PLZ
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2943
Mailing Address - Country:US
Mailing Address - Phone:914-769-8333
Mailing Address - Fax:914-769-8334
Practice Address - Street 1:42 MEMORIAL PLZ
Practice Address - Street 2:SUITE 201
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2943
Practice Address - Country:US
Practice Address - Phone:914-769-8333
Practice Address - Fax:914-769-8334
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYUTV5147152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYUO9696Medicare UPIN
NYC43261Medicare ID - Type Unspecified