MEDICARE: MEDICAL EYE CARE, P.C.

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	207W00000X	Ophthalmology Physician		NY

General Provider Information

NPI Number	:	1093887754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL EYE CARE, P.C.

Provider Business Mailing Address
First Line	:	326 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5602
Country	:	US
Telephone Number	:	718-585-6262
Fax Number	:

Provider Business Practice Location Address
First Line	:	326 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5602
Country	:	US
Telephone Number	:	718-585-6262
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GENE R MATUSOW
Credential	:	M.D.
Telephone Number	:	718-585-6262

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/23/2012

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