Tri State Eye Ophthalmology of Middletown PC
NPI 1053430256 · Specialist · Middletown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tri State Eye Ophthalmology of Middletown PC is a Specialist organization in Middletown, NY (NPI 1053430256).
Provider details
- NPI number
- 1053430256
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Severin Palydowycz, Owner(570) 296-9696
- License
- MD049303L (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tri State Eye Ophthalmology of Middletown PC
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2015-01-30
Frequently asked questions
- What is Tri State Eye Ophthalmology of Middletown PC's NPI number?
- Tri State Eye Ophthalmology of Middletown PC's National Provider Identifier (NPI) is 1053430256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri State Eye Ophthalmology of Middletown PC?
- Tri State Eye Ophthalmology of Middletown PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Tri State Eye Ophthalmology of Middletown PC located?
- Tri State Eye Ophthalmology of Middletown PC's practice location on file with NPPES is 75 Crystal Run Rd, Middletown, NY 10941-7000.
- What is Tri State Eye Ophthalmology of Middletown PC's phone number?
- The practice phone number listed in the NPPES registry for Tri State Eye Ophthalmology of Middletown PC is (845) 703-2020.
- Does Tri State Eye Ophthalmology of Middletown PC accept Medicare?
- Tri State Eye Ophthalmology of Middletown PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tri State Eye Ophthalmology of Middletown PC?
- The authorized official listed on Tri State Eye Ophthalmology of Middletown PC's NPPES record is Severin Palydowycz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri State Eye Ophthalmology of Middletown PC's NPI active?
- Yes — Tri State Eye Ophthalmology of Middletown PC's NPI (1053430256) is active in the NPPES registry as of the last update on 2015-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.