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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL D LACK OD

Active Organization

MICHAEL D LACK OD is a Optometrist organization located in PLATTSBURGH, New York. NPI 1831246958 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PLATTSBURGH, NY

Registration Details

NPI Number
1831246958
Provider Type
Organization
NPI Issued
Jan 3, 2007 (19.64812971967 yrs)
Last Updated
Oct 25, 2011
License
TUV003563-1 (NY)

Practice Information

Address
292 CORNELIA ST BLDG 2
PLATTSBURGH, NY, 129012303
Browse NY providers · Browse ZIP 12901
Phone
5185637400
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.