Provider Demographics
NPI:1538161740
Name:SCHLUSSEL, ALAN B (OD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:SCHLUSSEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 33RD ST
Mailing Address - Street 2:LBBY OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4874
Mailing Address - Country:US
Mailing Address - Phone:212-683-2004
Mailing Address - Fax:212-686-1704
Practice Address - Street 1:200 E 33RD ST
Practice Address - Street 2:LBBY OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4874
Practice Address - Country:US
Practice Address - Phone:212-683-2004
Practice Address - Fax:212-686-1704
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV4463-1152WC0802X
NJ27OA004485152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC31501Medicare PIN
NYT48995Medicare UPIN
NJ521638Medicare PIN