Provider Demographics
NPI:1366759748
Name:MARCHELE OPTICAL INC.
Entity type:Organization
Organization Name:MARCHELE OPTICAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERZ-NUSSENBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-725-6437
Mailing Address - Street 1:777 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-5000
Mailing Address - Country:US
Mailing Address - Phone:914-725-6437
Mailing Address - Fax:
Practice Address - Street 1:777 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5000
Practice Address - Country:US
Practice Address - Phone:914-725-6437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV00004601152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6459940001Medicare NSC