MEDICARE: B & H OPTICAL INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295831972
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & H OPTICAL INC

Provider Business Mailing Address
First Line	:	650 LEE BLVD
Second Line	:	SUITE K02
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1160
Country	:	US
Telephone Number	:	914-245-8111
Fax Number	:	914-245-1826

Provider Business Practice Location Address
First Line	:	650 LEE BLVD
Second Line	:	SUITE K02
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1160
Country	:	US
Telephone Number	:	914-245-8111
Fax Number	:	914-245-1826

Authorized Official
Title or Position	:	OWNER
Name	:	IZABELLA ROZENTAL
Credential	:	OPTICIAN
Telephone Number	:	914-245-8111

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	09/08/2009

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Directions to “B & H OPTICAL INC ” Practice Location

Language	Start Address	Practice Location

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