MEDICARE: FVCA OPTOMETRY, PLLC

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1275592594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FVCA OPTOMETRY, PLLC

Provider Business Mailing Address
First Line	:	1133 WESTCHESTER AVE STE N-008
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3550
Country	:	US
Telephone Number	:	914-948-0304
Fax Number	:	914-948-0365

Provider Business Practice Location Address
First Line	:	1133 WESTCHESTER AVE STE N-008
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-3550
Country	:	US
Telephone Number	:	914-948-0304
Fax Number	:	914-948-0365

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL R BERNSTEIN
Credential	:
Telephone Number	:	914-948-0304

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	01/12/2026

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