Jack R Nizewitz & Gary J Lake PC
NPI 1952528457 · Optometrist · Middletown, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack R Nizewitz & Gary J Lake PC is a Optometrist organization in Middletown, NY (NPI 1952528457).
Provider details
- NPI number
- 1952528457
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jack Nizewitz, Optometrist/Owner(845) 343-6919
Specialties & taxonomies
Eye and Vision Services 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
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2014-05-28
Frequently asked questions
- What is Jack R Nizewitz & Gary J Lake PC's NPI number?
- Jack R Nizewitz & Gary J Lake PC's National Provider Identifier (NPI) is 1952528457, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack R Nizewitz & Gary J Lake PC?
- Jack R Nizewitz & Gary J Lake PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Jack R Nizewitz & Gary J Lake PC located?
- Jack R Nizewitz & Gary J Lake PC's practice location on file with NPPES is 200 Midway Park Dr, Middletown, NY 10940-2642.
- What is Jack R Nizewitz & Gary J Lake PC's phone number?
- The practice phone number listed in the NPPES registry for Jack R Nizewitz & Gary J Lake PC is (845) 343-6919.
- Does Jack R Nizewitz & Gary J Lake PC accept Medicare?
- Jack R Nizewitz & Gary J Lake 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 Jack R Nizewitz & Gary J Lake PC?
- The authorized official listed on Jack R Nizewitz & Gary J Lake PC's NPPES record is Jack Nizewitz, Optometrist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack R Nizewitz & Gary J Lake PC's NPI active?
- Yes — Jack R Nizewitz & Gary J Lake PC's NPI (1952528457) is active in the NPPES registry as of the last update on 2014-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.