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NPI Code Detail

MEDICARE: EYE D SUNSET

MEDICARE: EYE D SUNSET
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
1152W00000XOptometristTUV7286NY

General Provider Information

NPI Number : 1972994754
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE D SUNSET
Provider Business Mailing Address
First Line : 4913 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2890
Country : US
Telephone Number : 718-889-1921
Fax Number : 718-889-1925
Provider Business Practice Location Address
First Line : 4913 5TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2890
Country : US
Telephone Number : 718-889-1921
Fax Number : 718-889-1925
Authorized Official
Title or Position : OPTOMETRIST
Name : MS. DIANA NGUYEN
Credential : O.D.
Telephone Number : 718-889-1921
Provider Enumeration Date : 02/14/2015
Last Update Date : 02/14/2015

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Directions to “EYE D SUNSET ” Practice Location

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