MEDICARE: DR. OSNAT AYKELIN O.D.

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	TUV008367-1	NY

General Provider Information

NPI Number	:	1063883114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OSNAT AYKELIN O.D.

Provider Business Mailing Address
First Line	:	8545 111TH ST
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-1638
Country	:	US
Telephone Number	:	917-484-3378
Fax Number	:

Provider Business Practice Location Address
First Line	:	8545 111TH ST
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-1638
Country	:	US
Telephone Number	:	917-484-3378
Fax Number	:

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

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	05/23/2022

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