| Dr Grigoriy Shimonov, OD | |
|
15614 Crossbay Blvd, Howard Beach, NY 11414-2745 | |
| (718) 738-2020 | |
| Not Available |
| Full Name | Dr Grigoriy Shimonov |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 15614 Crossbay Blvd, Howard Beach, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215938139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | TUV006831 (New York) | Secondary |
| 152W00000X | Optometrist | TUV006831 (New York) | Primary |
| Provider Name | Jamierose Eyeware Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568548568 PECOS PAC ID: 0042275281 Enrollment ID: O20041129000969 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grigoriy Shimonov, OD 15614 Crossbay Blvd, Howard Beach, NY 11414-2745 Ph: (718) 738-2020 | Dr Grigoriy Shimonov, OD 15614 Crossbay Blvd, Howard Beach, NY 11414-2745 Ph: (718) 738-2020 |
Joel Rosenstraus, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 160-55 Crossbay Blvd, Howard Beach, NY 11414 Phone: 718-835-2020 Fax: 718-835-2020 | |
Marc Mishan O.d., P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8227 153rd Ave, Howard Beach, NY 11414 Phone: 718-738-3700 | |
Mark Nieder, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15614 Crossbay Blvd, Howard Beach, NY 11414 Phone: 718-738-2020 Fax: 718-641-1010 | |
Dr. Susan Mishan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8227 153rd Ave, Howard Beach, NY 11414 Phone: 718-738-3700 Fax: 718-738-3700 | |
Dr. Marc Mishan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8227 153rd Ave, Howard Beach, NY 11414 Phone: 718-738-3700 Fax: 718-738-3700 | |
Dr. Alvin Vener, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 16432 Crossbay Blvd, Howard Beach, NY 11414 Phone: 718-322-5212 Fax: 718-322-5210 |