MEDICARE: GAMA MANAGEMENT INC.

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	VUT 005953	NY
2	156FX1800X	Optician	00746601	NY
3	152W00000X	Optometrist	T006567	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	52823	OTHER	NY	DAVIS VISION PROVIDER
3	7189341155	OTHER	NY	VSP PROVIDER
4	919663	OTHER	NY	BLOCK VISION PROVIDER

General Provider Information

NPI Number	:	1215009089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAMA MANAGEMENT INC.

Provider Business Mailing Address
First Line	:	1402 SHEEPSHEAD BAY RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3814
Country	:	US
Telephone Number	:	718-934-1155
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 SHEEPSHEAD BAY RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3813
Country	:	US
Telephone Number	:	718-934-1155
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DAVID LITOVSKY
Credential	:
Telephone Number	:	718-496-9605

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	10/20/2015

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Directions to “GAMA MANAGEMENT INC. ” Practice Location

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