Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TU003815 | NY |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TU003815 | NY |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | TU003815 | NY |
NPI | 1225114358 |
---|---|
Provider Name | Dr. David Howan Eilbert |
First Address | Mattituck, NY 11788 |
Second Address | Mattituck, NY 11788 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 03/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00677532 | (05) | NY |
147 | DAVIS VISION (01) | NY |
2871045 | CIGNA (01) | NY |
3534440 | AETNA (01) | NY |
5C5538 | HEALTHNET (01) | NY |
CD8711 | RAILROAD MEDICARE (01) | NY |
P2127257 | OXFORD (01) | NY |
U53533 | (02) | NY |