MEDICARE: VISION ASSOCIATES OF SHEEPSHEAD BAY 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	VUT004901	NY

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	:	1518908235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION ASSOCIATES OF SHEEPSHEAD BAY INC.

Provider Business Mailing Address
First Line	:	23 LAUREL LN
Second Line	:
City	:	HOLTSVILLE
State	:	NY
Zip	:	11742-2562
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 AVENUE Z
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3917
Country	:	US
Telephone Number	:	718-891-0832
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN HAMMER
Credential	:	OD
Telephone Number	:	718-891-0832

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	03/18/2010

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