Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tri State Eye Ophthalmology of Middletown PC

Organization Specialist · NPI 1053430256

Tri State Eye Ophthalmology of Middletown PC provides Specialist services in Middletown, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

75 Crystal Run Rd Ste 120
Middletown, NY 10941-7000 Not confirmed with CMS for 11 years — call before visiting
Phone: (845) 703-2020
Fax: (845) 703-2901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD049303L (NY)

Record details

NPI number1053430256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Severin Palydowycz — Owner · (570) 296-9696
Other names Tri State Eye Ophthalmology Of Middletown Pc
NPI enumeratedMarch 28, 2007
Last updated in NPPESJanuary 30, 2015
Mailing address75 Crystal Run Rd, Suite 120, Middletown, NY 10941-7000

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