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NPI Code Detail

MEDICARE: DR. SALVATORE JOHN SHAKIR O.D.

MEDICARE: DR. SALVATORE JOHN SHAKIR O.D.
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
1152W00000XOptometristTUV003585-1NY
2152W00000XOptometristTUV003585NY

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 : 1699751511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SALVATORE JOHN SHAKIR O.D.
Provider Business Mailing Address
First Line : 2922 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4639
Country : US
Telephone Number : 718-513-6911
Fax Number : 718-513-6912
Provider Business Practice Location Address
First Line : 2922 AVENUE L
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4639
Country : US
Telephone Number : 718-758-2020
Fax Number : 718-513-6912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 01/29/2024

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