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NPI Code Detail

MEDICARE: NY CLEAR OPTOMETRY EYE CARE PC

MEDICARE: NY CLEAR OPTOMETRY EYE CARE PC
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 : 1770345498
Entity Type Code : Organization
Provider Name (Legal Business Name) : NY CLEAR OPTOMETRY EYE CARE PC
Provider Business Mailing Address
First Line : 130 BAY 10TH ST FL 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3702
Country : US
Telephone Number : 631-408-8905
Fax Number :
Provider Business Practice Location Address
First Line : 7817 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-3712
Country : US
Telephone Number : 718-748-2020
Fax Number :
Authorized Official
Title or Position : OD
Name : TAISIR HAMOUDA
Credential : OD
Telephone Number : 631-408-8905
Provider Enumeration Date : 01/29/2024
Last Update Date : 01/29/2024

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Directions to “NY CLEAR OPTOMETRY EYE CARE PC ” Practice Location

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