IndividualActive
Daniel Lack, O.D.
NPI 1902861685 · Vision Therapy Optometrist · Lake Katrine, NY
Provider details
- NPI number
- 1902861685
- Entity type
- Individual
- Primary specialty
- Vision Therapy OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- TUV003890 (NY)
Mailing address
117 Penstock Ln
Lake Katrine, NY 12449-5240
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.