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

Dr. Gary Siegelbaum, OD

Individual provider Optometrist · NPI 1144301474

Dr. Gary Siegelbaum, OD is an Optometrist in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2006.

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

61-30A 190 St
Fresh Meadows, NY 11365-2720
Phone: (718) 454-8484
Fax: (718) 454-8910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV0043351 (NY)

Record details

NPI number1144301474
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJune 2, 2008
Mailing address61-30a 190 St, Fresh Meadows, NY 11365-2720

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