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NPI Code Detail

MEDICARE: VISIONCARE OPTOMETRY, PC

MEDICARE: VISIONCARE OPTOMETRY, PC
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
1152W00000XOptometrist006578NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100232325601OTHERNYAMERICHOICE
2C534H3OTHERNYEMPIRE BCBS
36C0131OTHERNYHEALTHNET
40135950OTHERNYGHI
51980260OTHERNYCIGNA
62323256OTHERNYEMPIRE PLAN (NYSHIPP)
7OP2742OTHERNYEYEMED
8P3662566OTHERNYOXFORD
9VUT006578OTHERNYVYTRA
10MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11C534H1OTHERNYEMPIRE BCBS
12178652OTHERNYCHN
1365020OTHERNYOPTUM HEALTH
146555328OTHERNYCIGNA
15770805POTHERNYHIP
16C455A3OTHERNYEMPIRE BCBS

General Provider Information

NPI Number : 1689734410
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISIONCARE OPTOMETRY, PC
Provider Business Mailing Address
First Line : 4420 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1944 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-5302
Country : US
Telephone Number : 718-763-2020
Fax Number : 718-763-2024
Authorized Official
Title or Position : PRESIDENT
Name : DR. TATYANA GALINSKY
Credential : O.D.
Telephone Number : 718-763-2020
Provider Enumeration Date : 12/11/2006
Last Update Date : 06/20/2018

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Directions to “VISIONCARE OPTOMETRY, PC ” Practice Location

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