Provider Demographics
NPI:1518950799
Name:HOLLANDER, CHARLES (OD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:
Last Name:HOLLANDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 WESTWOOD CENTER DR FL 9
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-2442
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:
Practice Address - Street 1:25 W 43RD ST
Practice Address - Street 2:SUITE 316
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-7406
Practice Address - Country:US
Practice Address - Phone:212-921-1888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003876152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400019950Medicare PIN