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NPI Code Detail

MEDICARE: BAYSHORE EYECARE LLC

MEDICARE: BAYSHORE EYECARE 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
1152W00000XOptometrist

General Provider Information

NPI Number : 1205339231
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYSHORE EYECARE LLC
Provider Business Mailing Address
First Line : 187 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-3741
Country : US
Telephone Number : 718-373-2020
Fax Number :
Provider Business Practice Location Address
First Line : 1701 SUNRISE HWY UNIT N22
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-9217
Country : US
Telephone Number : 631-666-4960
Fax Number :
Authorized Official
Title or Position : OWNER/OPTOMETRIST
Name : DR. ARTHUR VAYNER
Credential : O.D.
Telephone Number : 347-842-8871
Provider Enumeration Date : 03/15/2018
Last Update Date : 11/28/2022

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Directions to “BAYSHORE EYECARE LLC ” Practice Location

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