MEDICARE: MORTON KAPLAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2675T	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477539682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MORTON KAPLAN O.D.

Provider Business Mailing Address
First Line	:	55 SOMERSET DR
Second Line	:
City	:	SUFFERN
State	:	NY
Zip	:	10901-6905
Country	:	US
Telephone Number	:	201-906-4845
Fax Number	:	914-737-8167

Provider Business Practice Location Address
First Line	:	1865 MAIN ST
Second Line	:	BEACH SHOPPING CENTER
City	:	PEEKSKILL
State	:	NY
Zip	:	10566-2505
Country	:	US
Telephone Number	:	914-737-0437
Fax Number	:	914-737-8167

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	11/03/2010

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