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NPI Code Detail

MEDICARE: OPTICAL WORLD OF WASHINGTON HEIGHTS LLC

MEDICARE: OPTICAL WORLD OF WASHINGTON HEIGHTS LLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1336075589
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTICAL WORLD OF WASHINGTON HEIGHTS LLC
Provider Business Mailing Address
First Line : 585 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-5002
Country : US
Telephone Number : 917-388-3979
Fax Number : 718-679-9706
Provider Business Practice Location Address
First Line : 585 W 181ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-5002
Country : US
Telephone Number : 917-388-3979
Fax Number : 718-679-9706
Authorized Official
Title or Position : PARTNER
Name : ELENA FELDMAN
Credential : OD
Telephone Number : 347-842-8871
Provider Enumeration Date : 06/23/2026
Last Update Date : 06/23/2026

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Directions to “OPTICAL WORLD OF WASHINGTON HEIGHTS LLC ” Practice Location

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