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

Dr. Gary J Lake, OD

Individual provider Optometrist · NPI 1902884695

Dr. Gary J Lake, OD is an Optometry in Middletown, New York. Graduated from Pennsylvania College of Optometry in 1989, 37 years ago. Practices with Jack R Nizewitz and Gary J Lake PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
37
Trained at
Pennsylvania College of Optometry
Licensed in
NY
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

200 Midway Park Dr
Middletown, NY 10940-2642
Phone: (845) 343-6919
Fax: (845) 343-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T5072 (NY)

Record details

NPI number1902884695
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJune 25, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1989 (37 years in practice)
Group practice Jack R Nizewitz And Gary J Lake Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Middletown