Designer Optical Of Plains Parkway Inc | |
2196a White Plains Rd, Bronx, NY 10462-1406 | |
(718) 513-3577 | |
(718) 513-3579 |
Full Name | Designer Optical Of Plains Parkway Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 2196a White Plains Rd, Bronx, 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 |
---|---|---|---|
1962009175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Randy E Gunia |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164526844 PECOS PAC ID: 8123189461 Enrollment ID: I20161102002046 |
Provider Name | Nimmy Vadakat |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902496235 PECOS PAC ID: 2264822105 Enrollment ID: I20211208000095 |
Mailing Address | Practice Location Address |
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Designer Optical Of Plains Parkway Inc 2196a White Plains Rd, Bronx, NY 10462-1406 Ph: (718) 513-3577 | Designer Optical Of Plains Parkway Inc 2196a White Plains Rd, Bronx, NY 10462-1406 Ph: (718) 513-3577 |
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