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NPI Code Detail

MEDICARE: AVRAHAM C VIZEL OPTICIAN

MEDICARE: AVRAHAM C VIZEL OPTICIAN
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
1156FX1800XOpticianC-007816NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205908555
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVRAHAM C VIZEL OPTICIAN
Provider Business Mailing Address
First Line : 2922 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4639
Country : US
Telephone Number : 718-758-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2922 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4639
Country : US
Telephone Number : 718-758-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 04/12/2021

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Directions to “ AVRAHAM C VIZEL OPTICIAN” Practice Location

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