| Doctor Name: | MR. GLEN F. POMERANTZ |
| NPI Number: | 1205147501 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | 4084-1 |
| Business Practice Address: | 1636 Ulster Ave. Lake Katrine, NY - 12449 |
| Business Phone Number: | 8453366310 |
| Business Fax Number: | |
| Mailing Address: | 79 Manor Rd., Hudson Valley Vision Center Inc. RED HOOK |
| State: | NY |
| Postal Code: | 12571 |
| Phone Number: | 8453366310 |
| Fax Number: | |
| NPI Enumeration Date: | 07/01/2010 |
| NPI Last Update Date: | 07/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156F00000X |
| License Number: | 4084-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |