Elmhurst 88 Llc | |
8308 Broadway, Elmhurst, NY 11373-5734 | |
(347) 808-8769 | |
(347) 808-8769 |
Full Name | Elmhurst 88 Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 8308 Broadway, Elmhurst, 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 |
---|---|---|---|
1336855832 | NPI | - | NPPES |
PENDING | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Paul P Repage |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396724001 PECOS PAC ID: 5294727806 Enrollment ID: I20181015000538 |
Mailing Address | Practice Location Address |
---|---|
Elmhurst 88 Llc 8308 Broadway, Elmhurst, NY 11373-5734 Ph: (347) 808-8769 | Elmhurst 88 Llc 8308 Broadway, Elmhurst, NY 11373-5734 Ph: (347) 808-8769 |
Family Optical Ny, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8327 Broadway Ste 1f, Elmhurst, NY 11373 Phone: 917-651-6870 | |
Dr. Charles Kim, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 94-07a 46 Avenue, 2nd Floor, Elmhurst, NY 11373 Phone: 917-385-7829 | |
Mount Sinai Elmhurst Faculty Practice Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-1591 Fax: 718-334-4815 | |
Eric C. Rubinfeld, Optometrist Medicare: Medicare Enrolled Practice Location: 9015 Queens Blvd, Queens Center Mall, Elmhurst, NY 11373 Phone: 718-592-5200 Fax: 718-592-7902 | |
Rebecca Revital Khalili, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9141 Queens Blvd, Elmhurst, NY 11373 Phone: 210-524-6922 | |
Dr. Stephen Luloff, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 86-15 Queens Blvd, Elmhurst, NY 11373 Phone: 718-899-6600 Fax: 718-397-7782 | |
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