MEDICARE: EYEPARLOR 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
1	152W00000X	Optometrist	03801	NY

General Provider Information

NPI Number	:	1790828366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYEPARLOR INC.

Provider Business Mailing Address
First Line	:	5903 1/2 AVENUE N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4129
Country	:	US
Telephone Number	:	718-444-7007
Fax Number	:

Provider Business Practice Location Address
First Line	:	5903 1/2 AVENUE N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4129
Country	:	US
Telephone Number	:	718-444-7007
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BRUCE FINKELSTEIN
Credential	:
Telephone Number	:	718-444-7007

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	12/30/2008

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Directions to “EYEPARLOR INC. ” Practice Location

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