Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL JAMES MCGOVERN, O.D.
ActiveDR. MICHAEL JAMES MCGOVERN, O.D. is a Optometrist healthcare provider located in LAKE RONKONKOMA, New York. NPI 1669470530 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1669470530
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2005 (21.057733645807 yrs)
- Last Updated
- May 13, 2008
- Licenses
-
TUV5891 (NY)OD2344 (TN)
Practice Information
- Address
-
624 HAWKINS AVESUITE #1LAKE RONKONKOMA, NY, 117792324Browse NY providers · Browse ZIP 11779
- Phone
- 6315885100
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. TRACY K BROOKS | O.D. | 1609995844 |
| FRANK THOMAS ADAM | O.D. | 1831219591 |
| MICHELE ESPINOSA | — | 1770964926 |
| TRACY ROSSI | O.D. | 1447601729 |
| VANESSA ROSE EGER | OD | 1366280521 |
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.