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NPI Code Detail

MEDICARE: STEIN OPTICIANS INC

MEDICARE: STEIN OPTICIANS 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
1152W00000XOptometristTUV003590NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932267119
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEIN OPTICIANS INC
Provider Business Mailing Address
First Line : 59 05 71ST AVENUE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5655
Country : US
Telephone Number : 718-386-8900
Fax Number : 718-386-8400
Provider Business Practice Location Address
First Line : 59 05 71ST AVENUE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5655
Country : US
Telephone Number : 718-386-8900
Fax Number : 718-386-8400
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVEN B STEIN
Credential : OD
Telephone Number : 718-386-8900
Provider Enumeration Date : 12/04/2006
Last Update Date : 08/22/2020

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Directions to “STEIN OPTICIANS INC ” Practice Location

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