Provider Demographics
NPI:1528770252
Name:COLUMBIA GREENE OPTOMETRY PLLC
Entity type:Organization
Organization Name:COLUMBIA GREENE OPTOMETRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCEWAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:518-828-8733
Mailing Address - Street 1:5315 ROUTE 32
Mailing Address - Street 2:
Mailing Address - City:CATSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12414-6527
Mailing Address - Country:US
Mailing Address - Phone:845-559-3288
Mailing Address - Fax:
Practice Address - Street 1:183 HEALY BLVD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-1509
Practice Address - Country:US
Practice Address - Phone:518-828-8733
Practice Address - Fax:518-828-4898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty