DR. GARY SIEGELBAUM O.D.
NPI 1144301474
Optometrist in Fresh Meadows, NY

Q: What is Gary Siegelbaum's NPI number?

The NPI number for Gary Siegelbaum is 1144301474. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Q: What is Gary Siegelbaum's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Siegelbaum was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2006

61-30A 190 ST, FRESH MEADOWS, NY 11365(718) 454-8484(718) 454-8910 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Gary Siegelbaum O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY SIEGELBAUM O.D. (NPI 1144301474) is an individual optometrist in Fresh Meadows, New York, licensed in New York (TUV0043351) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1144301474

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GARY SIEGELBAUMCredential: O.D.

Location Address61-30A 190 STFresh Meadows, NY 11365-2720

Mailing Address61-30a 190 StFresh Meadows, NY 11365-2720 · (718) 454-8484 · Fax (718) 454-8910

Phone(718) 454-8484

Fax(718) 454-8910

Sole ProprietorNo

Enumeration DateOctober 17, 2006

Last NPPES UpdateJune 2, 2008

✔ NPI 1144301474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in NY · TUV0043351

Definition

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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

61-30A 190 ST, Fresh Meadows, NY 11365

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Other Identifiers 2

Medicare UPINU38175NY

Medicare PIN00718NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Siegelbaum's NPI number?

The NPI number for Gary Siegelbaum is 1144301474. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Gary Siegelbaum located?

Gary Siegelbaum practices at 61-30a 190 St, Fresh Meadows, NY 11365. The listed phone number is (718) 454-8484.

What is Gary Siegelbaum's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Gary Siegelbaum was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.