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NPI Code Detail

MEDICARE: EYECARE ADVANTAGE,INC. EYECARE VISION SERVICES

MEDICARE: EYECARE ADVANTAGE,INC. EYECARE VISION SERVICES
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
1152W00000XOptometrist3162NY

General Provider Information

NPI Number : 1730485640
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYECARE ADVANTAGE,INC. EYECARE VISION SERVICES
Provider Business Mailing Address
First Line : 1953 GRAND AVE
Second Line :
City : NORTH BALDWIN
State : NY
Zip : 11510-2820
Country : US
Telephone Number : 855-423-3700
Fax Number : 631-499-3062
Provider Business Practice Location Address
First Line : 1324 METROPOLITAN AVE
Second Line :
City : BRONX
State : NY
Zip : 10462-7971
Country : US
Telephone Number : 855-423-3700
Fax Number : 631-499-3062
Authorized Official
Title or Position : PRES.
Name : DR. STEPHEN H ASHINOFF
Credential : OD
Telephone Number : 855-423-3700
Provider Enumeration Date : 02/10/2011
Last Update Date : 10/03/2016

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Directions to “EYECARE ADVANTAGE,INC. EYECARE VISION SERVICES ” Practice Location

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