MEDICARE: REICH MEDICAL AND SURGICAL EYECARE, 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
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700971496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REICH MEDICAL AND SURGICAL EYECARE, LLC

Provider Business Mailing Address
First Line	:	118 W END AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4809
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 AVENUE P
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1337
Country	:	US
Telephone Number	:	718-332-6200
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. SUE REICH
Credential	:
Telephone Number	:	718-332-6200

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	02/05/2024

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