| Broadway Vision Inc | |
|
3525 Broadway, New York, NY 10031-5627 | |
| (646) 645-6634 | |
| Not Available |
| Full Name | Broadway Vision Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3525 Broadway, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629442702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kimberly M Mchugh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083849954 PECOS PAC ID: 1153504576 Enrollment ID: I20110323000219 |
| Provider Name | Arielle Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376085761 PECOS PAC ID: 4284900671 Enrollment ID: I20171031000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Vision Inc 3525 Broadway, New York, NY 10031-5627 Ph: () - | Broadway Vision Inc 3525 Broadway, New York, NY 10031-5627 Ph: (646) 645-6634 |
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