MEDICARE: DR. BARRY SCHOLNICK 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
1	152W00000X	Optometrist	TUV004558	NY

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	:	1790820462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY SCHOLNICK O.D.

Provider Business Mailing Address
First Line	:	704 WENWOOD DR
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-4943
Country	:	US
Telephone Number	:	516-485-2913
Fax Number	:

Provider Business Practice Location Address
First Line	:	1445 HEMPSTEAD TPKE
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-2404
Country	:	US
Telephone Number	:	516-616-1771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	07/08/2007

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