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NPI Code Detail

MEDICARE: DR. STUART L SKLAR OD

MEDICARE: DR. STUART L SKLAR OD
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
1152W00000XOptometristVUT004947NY

General Provider Information

NPI Number : 1952387870
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART L SKLAR OD
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 : 914-639-1041
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 : 914-639-1041
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 01/05/2010

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