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NPI Code Detail

MEDICARE: STUART L. SKLAR O.D. P.C.

MEDICARE: STUART L. SKLAR O.D. P.C.
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
1152W00000XOptometristNY

General Provider Information

NPI Number : 1861671158
Entity Type Code : Organization
Provider Name (Legal Business Name) : STUART L. SKLAR O.D. P.C.
Provider Business Mailing Address
First Line : 29 WATERFRONT PL
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-6001
Country : US
Telephone Number : 914-939-0982
Fax Number : 914-939-1041
Provider Business Practice Location Address
First Line : 29 WATERFRONT PL
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-6001
Country : US
Telephone Number : 914-939-0982
Fax Number : 914-939-1041
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. STUART L SKLAR
Credential : OD
Telephone Number : 914-939-0982
Provider Enumeration Date : 11/02/2007
Last Update Date : 05/20/2009

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