MEDICARE: MEGA VISION CENTER II,LLC

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	TUV006404	NY

General Provider Information

NPI Number	:	1912120700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEGA VISION CENTER II,LLC

Provider Business Mailing Address
First Line	:	63-73 108TH STREET
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1607
Country	:	US
Telephone Number	:	718-896-2020
Fax Number	:	718-459-3490

Provider Business Practice Location Address
First Line	:	63-73 108TH STREET
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1607
Country	:	US
Telephone Number	:	718-896-2020
Fax Number	:	718-459-3490

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. ARTHUR VAYNER
Credential	:	OD
Telephone Number	:	718-896-2020

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	08/13/2008

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