Emika Ikegami Lewis, OD | |
546 Nostrand Ave, Brooklyn, NY 11216-2013 | |
(718) 230-0774 | |
Not Available |
Full Name | Emika Ikegami Lewis |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 546 Nostrand Ave, Brooklyn, 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 |
---|---|---|---|
1700565512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | TUV009793-01 (New York) | Secondary |
152W00000X | Optometrist | TUV009793-01 (New York) | Primary |
Provider Name | Fabulous Optical Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194185900 PECOS PAC ID: 6002101821 Enrollment ID: O20160818000574 |
Mailing Address | Practice Location Address |
---|---|
Emika Ikegami Lewis, OD 72 Willoughby St Apt 2e, Brooklyn, NY 11201-2826 Ph: () - | Emika Ikegami Lewis, OD 546 Nostrand Ave, Brooklyn, NY 11216-2013 Ph: (718) 230-0774 |
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