Dr Bryan S Prouse, OD | |
257 Beach 20th St, Far Rockaway, NY 11691-3625 | |
(718) 327-2020 | |
(718) 327-6125 |
Full Name | Dr Bryan S Prouse |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 14 Years |
Location | 257 Beach 20th St, Far Rockaway, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265745004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV7547-1 (New York) | Primary |
Provider Name | Raines Optical Company, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871627679 PECOS PAC ID: 3870677842 Enrollment ID: O20080228000797 |
Provider Name | 200 West Optics Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831770890 PECOS PAC ID: 5395144380 Enrollment ID: O20210525000165 |
Mailing Address | Practice Location Address |
---|---|
Dr Bryan S Prouse, OD 130 Meadow Ln, New Rochelle, NY 10805-2323 Ph: (516) 567-5234 | Dr Bryan S Prouse, OD 257 Beach 20th St, Far Rockaway, NY 11691-3625 Ph: (718) 327-2020 |
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