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NPI Code Detail

MEDICARE: EYECARE ADVANTAGE, INC.

MEDICARE: EYECARE ADVANTAGE, INC.
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
1332H00000XEyewear Supplier003162NY
2152W00000XOptometristT003162NY

General Provider Information

NPI Number : 1720314370
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYECARE ADVANTAGE, INC.
Provider Business Mailing Address
First Line : 1953 GRAND AVE
Second Line :
City : NORTH BALDWIN
State : NY
Zip : 11510-2820
Country : US
Telephone Number : 855-423-3700
Fax Number :
Provider Business Practice Location Address
First Line : 28 GRAHAM AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-4008
Country : US
Telephone Number : 855-423-3700
Fax Number : 631-499-3062
Authorized Official
Title or Position : PREDEIENT
Name : DR. STEPHEN H ASHINOFF
Credential : OD
Telephone Number : 855-423-3700
Provider Enumeration Date : 11/02/2009
Last Update Date : 10/03/2016

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Directions to “EYECARE ADVANTAGE, INC. ” Practice Location

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