MEDICARE: MEIRA SCHIPPER, O.D. PLLC

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	TUV007608	NY

General Provider Information

NPI Number	:	1093003626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEIRA SCHIPPER, O.D. PLLC

Provider Business Mailing Address
First Line	:	1171 E 32ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4734
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 E 32ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4734
Country	:	US
Telephone Number	:	917-685-4724
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. MEIRA SCHIPPER
Credential	:
Telephone Number	:	917-685-4724

Provider Enumeration Date	:	07/18/2011
Last Update Date	:	07/18/2011

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