Provider Demographics
NPI:1306119367
Name:ANDREA J. KROPF, O.D., LLC
Entity type:Organization
Organization Name:ANDREA J. KROPF, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:KROPF
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-302-6877
Mailing Address - Street 1:293 ROUTE 100
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3213
Mailing Address - Country:US
Mailing Address - Phone:914-302-6877
Mailing Address - Fax:914-302-6876
Practice Address - Street 1:293 ROUTE 100
Practice Address - Street 2:SUITE 208
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3213
Practice Address - Country:US
Practice Address - Phone:914-302-6877
Practice Address - Fax:914-302-6876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT006519152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty