MEDICARE: CARNEGIE HILL OPTOMETRY, PLLC

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	007436	NY

General Provider Information

NPI Number	:	1841631744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARNEGIE HILL OPTOMETRY, PLLC

Provider Business Mailing Address
First Line	:	1387 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6904
Country	:	US
Telephone Number	:	212-987-6295
Fax Number	:	718-701-8104

Provider Business Practice Location Address
First Line	:	1387 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-6904
Country	:	US
Telephone Number	:	212-987-6295
Fax Number	:	718-701-8104

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ELAINE YEE
Credential	:	O.D.
Telephone Number	:	212-987-6295

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	07/09/2013

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