Lee Podberesky is a Optometrist in Monroe, New York. Lee Podberesky practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lee Podberesky is 1093884496. The last update date is 2007-07-09.
Lee Podberesky's current location address is 358 Mountain Ave, Monroe, New York. You can contact this provider via phone number 8457821837 and fax number 8457748849. The mailing address for Lee Podberesky is 358 Mountain Ave, Monroe, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee Podberesky |
|---|---|
| Address | 358 Mountain Ave, Monroe, New York |
| Phone Number | 8457821837 |
| Fax Number | 8457748849 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1093884496 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 358 Mountain Ave |
|---|---|
| City | Monroe |
| State | New York (NY) |
| Post Code | 109501114 |
| Phone Number | 8457821837 |
| Fax Number | 8457748849 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | T004929-1 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1691625 | NY | -- |
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What is the unique identification code assigned to Lee Podberesky by the Centers for Medicare & Medicaid Services?
The Lee Podberesky has been issued the NPI (National Provider Identifier) 1093884496. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lee Podberesky located?
The Lee Podberesky is located at 358 Mountain Ave, Monroe, NY 109501114.
What is the Lee Podberesky's area of specialization and corresponding taxonomy classification?
The Lee Podberesky's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093884496 to Lee Podberesky?
The Centers for Medicare & Medicaid Services originally issued the 1093884496 to Lee Podberesky on 2006-11-07.
As of what date were the Lee Podberesky's details last updated?
The information pertaining to the Lee Podberesky, including its address, specialty, and other details, was most recently updated on 2007-07-09.