DR. DAVID P DOZACK (NPI# 1629056783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629056783 |
| Entity Type | Individual |
| Full Name | DR. DAVID P DOZACK |
| Credential | OD |
| Practice Address |
470 W Water St Elmira NY 14905-2529 |
| Practice Telephone | 6077341679 |
| Practice Fax Number | 6077325549 |
| Mailing Telephone | 6077341679 |
| Mailing Fax Number | 6077325549 |
| Enumeration Date | 2006-01-08 |
| Last Update Date | 2008-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | VUT003970 | NY | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
VUT003970 | NY | Eye and Vision Services Providers |
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
VUT003970 | NY | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
VUT003970 | NY | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
VUT003970 | NY | Eye and Vision Services Providers |
| Street Address |
470 W WATER ST |
| City | ELMIRA |
| State | NY |
| Zip Code | 14905-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780234146 | Theron Bennett | Technician | 900 West First Street, Elmira, NY 14905 | 2019-09-18 |
| 1558893792 | Zhezheng Li | Student in an Organized Health Care Education/Training Program | 600 Roe Street, Elmira, NY 14905 | 2017-03-28 |
| 1932555885 | Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 602 Ivy Street, Elmira, NY 14905 | 2016-05-10 |
| 1982974465 | Chris Cook | Registered Nurse | 110 Hendy Ave, Elmira, NY 14905 | 2011-12-30 |
| 1578795290 | Richard Grinstead | Radiology | Arnot Ogden Medical Center, 600 Roe Ave, Elmira, NY 14905 | 2009-08-13 |
| 1033343967 | Janice Elaine Jackson | Registered Nurse | 1135 Hoffman Street, Elmira, NY 14905 | 2009-05-06 |
| 1598823361 | Obrien Hearing Aid Center | Hearing Aid Equipment | 227 Hoffman St, Elmira, NY 14905 | 2006-12-05 |
| 1487712634 | Robert Gordon Lyon | Dentist | 208 Walnut Street, Elmira, NY 14905 | 2006-12-04 |
| 1215009600 | Twin Tiers Dental Pllc | Dentist | 420 West Water St, Elmira, NY 14905 | 2006-11-14 |
| 1356432348 | Womens Health Services of Elmira | Obstetrics & Gynecology | 600 Fitch St Su 102, Elmira, NY 14905 | 2006-09-27 |
| Find all providers in zip 14905 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215263553 | Ugochi Kalu | Optometrist | 830 County Road 64, Empire Vision Centers, Elmira, NY 14903-9719 | 2009-10-21 |
| 1083671044 | Empire Vision Center Inc | Optometrist | 830 County Route 64, Elmira, NY 14903-9717 | 2006-04-26 |
| 1588625867 | Tracy L Fish | Optometrist | 830 County Rte 64, Empire Vision Centers, Elmira, NY 14903 | 2006-03-28 |
| 1922073071 | Weiheng Chen | Optometrist | 1600 Cedar St, Elmira, NY 14904-2948 | 2006-02-22 |
| 1720072663 | Twin Tiers Eye Care Associates PC | Optometrist | 207 Madison Ave, Elmira, NY 14901-3204 | 2005-09-07 |
| 1578561122 | Lawrence John Waite | Optometrist | 382 W Church St, Elmira, NY 14901-2621 | 2005-07-08 |
| 1578823878 | Twin Tiers Eye Care Associates, PC | Optometrist | 207 Madison Ave, Elmira, NY 14901-3204 | 2012-05-21 |
| 1962701763 | Michael John O'connor | Optometrist | 830 County Route 64, Elmira, NY 14903-9719 | 2011-03-18 |
| 1609020791 | Alicia Christine Shaikh | Optometrist | 602 Ivy St, Elmira, NY 14905-1646 | 2008-11-16 |
| 1336323195 | Lawrence J Waite | Optometrist | 382 W Church St, Elmira, NY 14901-2621 | 2007-12-28 |
| Find all providers in ELMIRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.