MEDICARE: DR. PAUL SHYER OD

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	02873-01	NY

General Provider Information

NPI Number	:	1922822774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL SHYER OD

Provider Business Mailing Address
First Line	:	4 FIELDSTONE LN
Second Line	:
City	:	OYSTER BAY
State	:	NY
Zip	:	11771-3108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1955 TURNBULL AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10473-2516
Country	:	US
Telephone Number	:	718-220-6060
Fax Number	:

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

Provider Enumeration Date	:	11/08/2024
Last Update Date	:	11/08/2024

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