MEDICARE: AHFK OPTICAL 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	TUV006080	FL

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	:	1861548919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHFK OPTICAL INC.

Provider Business Mailing Address
First Line	:	1416 ROCKAWAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-2322
Country	:	US
Telephone Number	:	718-257-2339
Fax Number	:	718-272-7171

Provider Business Practice Location Address
First Line	:	1416 ROCKAWAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-2322
Country	:	US
Telephone Number	:	718-257-2339
Fax Number	:	718-272-7171

Authorized Official
Title or Position	:	MANAGER
Name	:	DAVE DEONANDAN
Credential	:
Telephone Number	:	718-257-2339

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/22/2020

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Directions to “AHFK OPTICAL INC. ” Practice Location

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