MEDICARE: DR. IRIDA LLAMBIRI EVANS OPTOMETRY DOCTOR

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	56007597	NY

General Provider Information

NPI Number	:	1003049040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRIDA LLAMBIRI EVANS OPTOMETRY DOCTOR

Provider Business Mailing Address
First Line	:	586 PRESIDENT ST
Second Line	:	SUITE B
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2034
Country	:	US
Telephone Number	:	718-438-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	586 PRESIDENT ST
Second Line	:	SUITE B
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2034
Country	:	US
Telephone Number	:	718-438-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2009
Last Update Date	:	03/19/2025

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