JACK R NIZEWITZ & GARY J LAKE PC
NPI 1952528457
Optometrist in Middletown, NY

Q: What is Jack R Nizewitz & Gary J Lake PC's NPI number?

The NPI number for Jack R Nizewitz & Gary J Lake PC is 1952528457. It was assigned to this organization in the NPPES registry on April 19, 2007.

Q: What is Jack R Nizewitz & Gary J Lake PC's specialty?

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

Active since April 19, 2007

200 MIDWAY PARK DR, MIDDLETOWN, NY 10940(845) 343-6919(845) 343-4545 Get Directions Write a Review

NPPES record last updated: May 28, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jack R Nizewitz & Gary J Lake Pc NPPES

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

JACK R NIZEWITZ & GARY J LAKE PC (NPI 1952528457) is a healthcare organization registered as an optometrist in Middletown, New York and active in the NPI registry since April 2007. The organization lists Jack R Nizewitz, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1952528457

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJACK R NIZEWITZ & GARY J LAKE PC

Location Address200 MIDWAY PARK DRMiddletown, NY 10940-2642

Mailing Address200 Midway Park DriveMiddletown, NY 10940-4545 · (845) 343-6919 · Fax (845) 343-4545

Phone(845) 343-6919

Fax(845) 343-4545

Organization SubpartNo

Authorized OfficialJack R NizewitzOptometrist/owner · (845) 343-6919

Enumeration DateApril 19, 2007

Last NPPES UpdateMay 28, 2014

✔ NPI 1952528457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

200 MIDWAY PARK DR, Middletown, NY 10940

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Other Identifiers 1

Medicare NSC0634940001NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack R Nizewitz & Gary J Lake Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Jack R Nizewitz & Gary J Lake PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Debbie Ocampo, OD

Optometry

NPI 1902493695

200 MIDWAY PARK DR STE 1
Middletown, NY 10940

(845) 343-6919

✔ PECOS✔ Accepts MedicareSame address

Gary Lake, O.D.

Optometry

NPI 1902884695

200 MIDWAY PARK DR
Middletown, NY 10940

(845) 343-6919

✔ PECOS✔ Accepts MedicareSame address

Aaron Punim, O.D.

Optometry

NPI 1306228051

91 LAKES RD STE 1
Monroe, NY 10950

(845) 783-1224

✔ PECOS✔ Accepts Medicare12 mi

Trevor Gotthardt, OD

Optometry

NPI 1639968399

65 NORTH ST
Danbury, CT 06810

(120) 379-0903

✔ PECOS✔ Accepts Medicare48 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jack R Nizewitz & Gary J Lake PC's NPI number?

The NPI number for Jack R Nizewitz & Gary J Lake PC is 1952528457. It was assigned to this organization in the NPPES registry on April 19, 2007.

Where is Jack R Nizewitz & Gary J Lake PC located?

Jack R Nizewitz & Gary J Lake PC is located at 200 Midway Park Dr, Middletown, NY 10940. The listed phone number is (845) 343-6919.

What is Jack R Nizewitz & Gary J Lake PC's specialty?

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

Is Jack R Nizewitz & Gary J Lake PC enrolled in Medicare?

Yes. Jack R Nizewitz & Gary J Lake PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jack R Nizewitz & Gary J Lake PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Jack R Nizewitz & Gary J Lake PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jack R Nizewitz & Gary J Lake PC was last updated on May 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.