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

Dr. Michael Tanenbaum, OD

Individual provider Optometrist · NPI 1376510503

Dr. Michael Tanenbaum, OD is an Optometrist in Northport, 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

834 Fort Salonga Rd
Northport, NY 11768-3157
Phone: (631) 757-4440
Fax: (631) 757-4593
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV003407 (NY)

Record details

NPI number1376510503
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESJuly 13, 2026
Mailing address834 Fort Salonga Rd, Northport, NY 11768-3157

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