MEDICARE: FAZZARY EYE CARE, 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	152W00000X	Optometrist	007410	NY

General Provider Information

NPI Number	:	1780959726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAZZARY EYE CARE, LLC

Provider Business Mailing Address
First Line	:	2700 COUNTY ROAD 17
Second Line	:
City	:	WATKINS GLEN
State	:	NY
Zip	:	14891-9401
Country	:	US
Telephone Number	:	917-499-9131
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 N FRANKLIN ST
Second Line	:
City	:	WATKINS GLEN
State	:	NY
Zip	:	14891-1252
Country	:	US
Telephone Number	:	917-499-9131
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ASHLEY B FAZZARY
Credential	:	O.D.
Telephone Number	:	917-499-9131

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	03/08/2012

Similar Medicare Providers

1366415465 — DR. AJAY KUMAR AGARWALA M.D.
Practice Location Address:

257-12 UNION TPKE
GLEN OAKS, NY
11004-1252

Practice Phone: 718-343-3800
Practice Fax: 914-303-5004

1518140003 — GLEN OAKS MEDICAL ASSOCIATE PC
Practice Location Address:

25710 UNION TPKE
GLEN OAKS, NY
11004-1252

Practice Phone: 718-343-7200
Practice Fax: 718-343-5834

1215108568 — BORO MEDICAL, P.C.
Practice Location Address:

25710 UNION TPKE
GLEN OAKS, NY
11004-1252

Practice Phone: 718-820-9365
Practice Fax: 718-820-0441

1700102456 — MOBILE CARDIO VASCULAR INC
Practice Location Address:

25710 UNION TPKE
GLEN OAKS, NY
11004-1252

Practice Phone: 718-820-9365
Practice Fax:

1609285436 — DR. KAVI HARESH SHAH DMD
Practice Location Address:

25710 UNION TPKE
GLEN OAKS, NY
11004-1252

Practice Phone: 718-343-7700
Practice Fax:

1649673781 — CARDIOLOGY CENTER OF NY PLLC
Practice Location Address:

257 - 12 UNION TPKE
GLEN OAKS, NY
11004-1252

Practice Phone: 718-343-3800
Practice Fax: 914-303-5004

Directions to “FAZZARY EYE CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.