Michael D Lack OD
Optometrist · Plattsburgh, NY
Practice location
292 Cornelia St Bldg 2Plattsburgh, NY 12901-2303
- Phone
- (518) 563-7400
NPI record
- NPI
- 1831246958
- Entity type
- Organization (Type 2)
- Enumeration date
- January 3, 2007
- Last updated
- October 25, 2011
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X |
TUV003563-1 | NY |
Authorized official
- Name
- Michael David Lack, O.D.
- Title
- Owner
- Phone
- (518) 563-7400
Other names
- North Country Optical
About Michael D Lack OD
Michael D Lack OD is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 292 Cornelia St Bldg 2, Plattsburgh, NY 12901-2303. The NPI number 1831246958 was assigned on January 3, 2007 and the record was last updated on October 25, 2011.
Michael D Lack OD 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.
The authorized official for this organization is Michael David Lack, O.D., Owner.
Frequently asked questions
What is the NPI number of Michael D Lack OD?
The NPI number is 1831246958.
What is the phone number of Michael D Lack OD?
The phone number listed for the practice location is (518) 563-7400.
Where is Michael D Lack OD located?
292 Cornelia St Bldg 2, Plattsburgh, NY 12901-2303.
What is the taxonomy code for Michael D Lack OD?
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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