Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waterloo Ophthalmic Dispensing, PC

Organization Eyewear Supplier · NPI 1518199371

Waterloo Ophthalmic Dispensing, PC is an Eyewear Supplier in Waterloo, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

204 Main Street Shop Ctr
Waterloo, NY 13165-1454
Phone: (315) 539-1209
Fax: (315) 539-1425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence C004107-1 (NY)

Record details

NPI number1518199371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Goodman — President/Optician · (315) 539-1209
Other names Waterloo Eye Care
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009
Mailing address204 Main Street Shop Ctr, Waterloo, NY 13165-1454