MEDICARE: STEIN OPTICIANS 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	TUV003590	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	:	1932267119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEIN OPTICIANS INC

Provider Business Mailing Address
First Line	:	59 05 71ST AVENUE
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-5655
Country	:	US
Telephone Number	:	718-386-8900
Fax Number	:	718-386-8400

Provider Business Practice Location Address
First Line	:	59 05 71ST AVENUE
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-5655
Country	:	US
Telephone Number	:	718-386-8900
Fax Number	:	718-386-8400

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN B STEIN
Credential	:	OD
Telephone Number	:	718-386-8900

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	08/22/2020

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Directions to “STEIN OPTICIANS INC ” Practice Location

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