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: August 09, 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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN T SLOMA, LCSW, PC

Social Worker (Clinical)

200 MIDWAY PARK DR, SUITE 4
MIDDLETOWN, NY 10940

Orange County (845) 341-1134

MR. GEORGE H BROWN LCSW

Social Worker (Clinical)

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 742-1316

SORIA SIDIQI

Speech-Language Pathologist

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 341-0666

MARA ANN KENT-LICARDI LCSWR

Social Worker (Clinical)

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 343-7274

LAURA SUE NIZEWITZ

Social Worker (Clinical)

200 MIDWAY PARK DR, SUITE 1 WEST
MIDDLETOWN, NY 10940

Orange County (845) 343-7274

DR. JACK R NIZEWITZ O.D.

Optometrist

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 343-6919

NANCY HANNAH DAVIS-KESSLER

Social Worker (Clinical)

200 MIDWAY PARK DR, SUITE 1
MIDDLETOWN, NY 10940

Orange County (845) 341-1134

MRS. ROBIN MELASKY SLOMA LCSW,LSSW

Social Worker (Clinical)

200 MIDWAY PARK DR
MIDDLETOWN, NY 10940

Orange County (845) 986-0298

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.

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.