MEDICARE: J.S. HOAGLAND,GUILD OPTICIANS

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	156FX1800X	Optician	C003741-1	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	:	1790847499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J.S. HOAGLAND,GUILD OPTICIANS

Provider Business Mailing Address
First Line	:	1 MAIDEN LN
Second Line	:	6TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10038-4015
Country	:	US
Telephone Number	:	212-732-3257
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MAIDEN LN
Second Line	:	6TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10038-4015
Country	:	US
Telephone Number	:	212-732-3257
Fax Number	:

Authorized Official
Title or Position	:	OWNER-OPTICIAN
Name	:	MR. ROBERT G. FOERSTER
Credential	:
Telephone Number	:	212-732-3257

Provider Enumeration Date	:	12/16/2006
Last Update Date	:	06/17/2008

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