MEDICARE: DR. AUDRA D STEINER 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	152WV0400X	Vision Therapy Optometrist	VUT006315	NY
2	152WV0400X	Vision Therapy Optometrist	TUV006315	NY

General Provider Information

NPI Number	:	1194725606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AUDRA D STEINER O.D.

Provider Business Mailing Address
First Line	:	33 WEST 42ND STREET
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8005
Country	:	US
Telephone Number	:	212-938-4001
Fax Number	:	212-938-4065

Provider Business Practice Location Address
First Line	:	33 WEST 42ND STREET
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-8005
Country	:	US
Telephone Number	:	212-938-4001
Fax Number	:

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	12/29/2010

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