MEDICARE: CHARLES I. ORNSTEIN

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	TUV004505-1	NY
2	156FX1800X	Optician	004129-1	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	:	1942234273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES I. ORNSTEIN

Provider Business Mailing Address
First Line	:	1802 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1308
Country	:	US
Telephone Number	:	718-376-1420
Fax Number	:

Provider Business Practice Location Address
First Line	:	1802 KINGS HWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1308
Country	:	US
Telephone Number	:	718-376-1420
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHARLES ORNSTEIN
Credential	:	OPHTHALMIC DISPENSER
Telephone Number	:	718-376-1420

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	06/24/2008

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Directions to “CHARLES I. ORNSTEIN ” Practice Location

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