MEDICARE: OPTYX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV0069621	NY

General Provider Information

NPI Number	:	1073769824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTYX LLC

Provider Business Mailing Address
First Line	:	312 SPRINGFIELD AVE STE 103
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1277
Country	:	US
Telephone Number	:	908-336-5661
Fax Number	:	866-384-7716

Provider Business Practice Location Address
First Line	:	2453 JERICHO TPKE
Second Line	:
City	:	GARDEN CITY PARK
State	:	NY
Zip	:	11040-4710
Country	:	US
Telephone Number	:	516-746-3836
Fax Number	:	866-384-7716

Authorized Official
Title or Position	:	CFO
Name	:	ERIC ROCHMAN
Credential	:
Telephone Number	:	908-336-5661

Provider Enumeration Date	:	08/12/2008
Last Update Date	:	04/08/2025

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