Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH L. STACK, O.D.
Active Sole ProprietorDR. KENNETH L. STACK, O.D. is a Optometrist healthcare provider located in ALBANY, New York. NPI 1093756371 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ALBANY, NY
Registration Details
- NPI Number
- 1093756371
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2006 (20.187502900517 yrs)
- Last Updated
- Oct 24, 2011
- License
-
TUV004607-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24 ROSEMONT STALBANY, NY, 122032405Browse NY providers · Browse ZIP 12203
- Phone
- 5184386669
- Fax
- 5184894372
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in ALBANY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY DAVID VARNEY | O.D. | 1093711558 |
| KEITH WATSON | — | 1194795948 |
| DR. AMNON BARON | OD | 1003877309 |
| DR. HEATHER L. DEERE | OD | 1326009002 |
| DR. DONNA B LEWANDOWSKI | OD | 1659318715 |
| ROBERT RUGGIERO | OD | 1306875737 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.