MEDICARE: SARATOGA OPTOMETRIC ASSOC, PC

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	332H00000X	Eyewear Supplier	TUV003537	NY
2	152W00000X	Optometrist	TUV003537	NY

General Provider Information

NPI Number	:	1942344148
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARATOGA OPTOMETRIC ASSOC, PC

Provider Business Mailing Address
First Line	:	235 WASHINGTON ST
Second Line	:	STE 1
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5962
Country	:	US
Telephone Number	:	518-587-5900
Fax Number	:	518-587-5938

Provider Business Practice Location Address
First Line	:	235 WASHINGTON ST
Second Line	:	STE 1
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5962
Country	:	US
Telephone Number	:	518-587-5900
Fax Number	:	518-587-5938

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DALE CHING
Credential	:	OD
Telephone Number	:	518-587-5900

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	02/26/2016

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