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NPI Code Detail

MEDICARE: BAYVIEW OPTICAL

MEDICARE: BAYVIEW OPTICAL
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
1156FX1800XOptician006939-1NY
2152W00000XOptometristTUV007565NY

Other Identifiers

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

General Provider Information

NPI Number : 1225087471
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYVIEW OPTICAL
Provider Business Mailing Address
First Line : 2020 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3204
Country : US
Telephone Number : 718-449-7164
Fax Number :
Provider Business Practice Location Address
First Line : 2020 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3204
Country : US
Telephone Number : 718-449-7164
Fax Number :
Authorized Official
Title or Position : OPTICIAN
Name : MRS. LILIYA PILIPENKO
Credential :
Telephone Number : 718-449-7164
Provider Enumeration Date : 05/07/2006
Last Update Date : 05/25/2012

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Directions to “BAYVIEW OPTICAL ” 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.