Dr. Keith Merrill Dworkin
Optometrist
137 E Main St
Smithtown
, New York 11787-2808
Dr. Keith Merrill Dworkin
Optometrist
137 E Main St
Smithtown
, New York 11787-2808
(631) 265-0161
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Keith Merrill Dworkin
- 137 E Main St
- Smithtown, NY
- Zip : 11787-2808
- Fax : (631) 265-0161
- Phone : (631) 265-2287
Second Address
- Dr. Keith Merrill Dworkin
- 137 E Main St
- Smithtown, NY
- Zip : 11787-2808
- Fax : (631) 265-0161
- Phone : (631) 265-2287
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | VUT004488 | NY |
National Provider Identifier
| NPI | 1013015379 |
|---|---|
| Provider Name | Dr. Keith Merrill Dworkin |
| First Address | Smithtown, NY 11787-2808 |
| Second Address | Smithtown, NY 11787-2808 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 30/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T48988 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.