MEDICARE: DR. MARC WEINSTEIN OD

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	005972	NY

General Provider Information

NPI Number	:	1316801640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC WEINSTEIN OD

Provider Business Mailing Address
First Line	:	60 PLANT AVE STE 4
Second Line	:
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788-3810
Country	:	US
Telephone Number	:	800-672-6304
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 PLANT AVE STE 4
Second Line	:
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788-3810
Country	:	US
Telephone Number	:	800-672-6304
Fax Number	:

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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