Organization · Type 2 NPI
Penn Yan Optometry PC
Eyewear Supplier · Penn Yan, NY
NPI number
1275600496
Active
Practice location
163 Main St
Penn Yan, NY 14527-1284
Fax (315) 536-9321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | TUV005146-J (NY) |
| Exclusive Provider Organization | 302F00000X | TUV005146-J (NY) |
| Eyewear Supplier Primary | 332H00000X | TUV005146-J (NY) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
3 other providers at this address
About NPI 1275600496
Penn Yan Optometry PC's National Provider Identifier is 1275600496, issued on Nov 30, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Penn Yan, NY. The record was last updated on Sep 11, 2025.