Individual provider · Type 1 NPI

Michael Tanenbaum, OD

Optometrist · Northport, NY

NPI number 1376510503 Active

Practice location

834 Fort Salonga Rd
Northport, NY 11768-3157

Fax (631) 757-4593

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000XTUV003407 (NY)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1376510503

Michael Tanenbaum, OD's National Provider Identifier is 1376510503, issued on Mar 7, 2006. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Northport, NY. The record was last updated on Jul 13, 2026.