Healthcare Provider Details

I. General information

NPI: 1427975481
Provider Name (Legal Business Name): MOUNTAIN VISION CARE OPTOMETRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N GALLERIA DR
MIDDLETOWN NY
10941-3036
US

IV. Provider business mailing address

15 CHELSEA LN
ROCK HILL NY
12775-6500
US

V. Phone/Fax

Practice location:
  • Phone: 845-741-4396
  • Fax:
Mailing address:
  • Phone: 845-741-4396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIYA SKREYDEL
Title or Position: OPTOMETRIST
Credential: OD
Phone: 845-741-4396