MEDICARE: DR. EMILY ROSE TOPI O.D

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	TUV009068-01	NY
2	152W00000X	Optometrist	2015019901	MO

General Provider Information

NPI Number	:	1942682208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMILY ROSE TOPI O.D

Provider Business Mailing Address
First Line	:	3711 W LAWRENCE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-5712
Country	:	US
Telephone Number	:	773-583-5727
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 GRAND CONCOURSE STE B6
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-1265
Country	:	US
Telephone Number	:	718-741-3200
Fax Number	:

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

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	02/16/2024

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