Michael David Lack, O.D.

Optometrist · Plattsburgh, NY

Individual Active NPI

NPI number 1538119516

Practice location

450 Margaret St
Plattsburgh, NY 12901-1755
Phone
(518) 566-2020
Fax
(518) 561-5390

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NPI record

NPI
1538119516
Entity type
Individual (Type 1)
Enumeration date
May 11, 2006
Last updated
June 30, 2020
Certified
June 30, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X TUV003563-1 NY

About Dr. Lack

Michael David Lack, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 450 Margaret St, Plattsburgh, NY 12901-1755. The NPI number 1538119516 was assigned on May 11, 2006 and the record was last updated on June 30, 2020.

Dr. Lack lists a license in the registry: #TUV003563-1 (NY) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael David Lack, O.D.?

The NPI number is 1538119516.

What is the phone number of Dr. Lack?

The phone number listed for the practice location is (518) 566-2020.

Where is Dr. Lack located?

450 Margaret St, Plattsburgh, NY 12901-1755.

What is the taxonomy code for Dr. Lack?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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