MEDICARE: WINDSOR PARK VISION CENTER, LTD

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	332H00000X	Eyewear Supplier	C4579	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	268	OTHER	NY	DAVIS
2	0082844	OTHER	NY	GHI
3	C53161	OTHER	NY	BCBS
4	905621	OTHER	NY	BLOCK
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	100186461501	OTHER	NY	UHC
7	P986837	OTHER	NY	OXFORD
8	110958	OTHER	NY	EYEMED
9	TUV004679	OTHER	NY	HIP

General Provider Information

NPI Number	:	1164649133
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINDSOR PARK VISION CENTER, LTD

Provider Business Mailing Address
First Line	:	21411 73RD AVE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2947
Country	:	US
Telephone Number	:	718-225-5533
Fax Number	:	718-225-5803

Provider Business Practice Location Address
First Line	:	21411 73RD AVE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2947
Country	:	US
Telephone Number	:	718-225-5533
Fax Number	:	718-225-5803

Authorized Official
Title or Position	:	OPTICIAN
Name	:	MR. CARL ROTHMAN
Credential	:	FNAO, ABO, NCLE
Telephone Number	:	718-225-5533

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	09/01/2016

Similar Medicare Providers

1891791018 — DR. STEVEN R LEVY OD
Practice Location Address:

21411A 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax: 718-225-5803

1164546065 — EDUARD SHIMANOV
Practice Location Address:

21411 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax:

1760506760 — MR. CARL ROTHMAN FNAO
Practice Location Address:

21411 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax: 718-225-5803

1821440322 — DR. CHRISTOPHER CHAN O.D.
Practice Location Address:

21411 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax:

1144434879 — DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ
Practice Location Address:

21409 73RD AVE
BAYSIDE, NY
11364-2947

Practice Phone: 718-224-9000
Practice Fax: 718-224-1348

1164175246 — CAROL THOMAS
Practice Location Address:

3625 NW 187TH ST
MIAMI GARDENS, FL
33056-2947

Practice Phone: 305-627-8457
Practice Fax:

Directions to “WINDSOR PARK VISION CENTER, LTD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.