MEDICARE: ROUTINE HEALTH, LLC

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	TUV0035151	NY

General Provider Information

NPI Number	:	1194141556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROUTINE HEALTH, LLC

Provider Business Mailing Address
First Line	:	8949 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6437
Country	:	US
Telephone Number	:	718-372-1212
Fax Number	:	718-372-6133

Provider Business Practice Location Address
First Line	:	8949 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-6437
Country	:	US
Telephone Number	:	718-372-1212
Fax Number	:	718-372-6133

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEVEN HOFFNER
Credential	:
Telephone Number	:	71837212112

Provider Enumeration Date	:	03/10/2014
Last Update Date	:	03/10/2014

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