| Eyevista Optometry Of 86, Llc | |
|
1883 86th St, Brooklyn, NY 11214-3108 | |
| (718) 256-2020 | |
| (718) 256-2027 |
| Full Name | Eyevista Optometry Of 86, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1883 86th St, Brooklyn, 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 |
|---|---|---|---|
| 1376988253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV007407-1 (New York) | Primary |
| Provider Name | Jackie Chan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366672925 PECOS PAC ID: 2668528621 Enrollment ID: I20110125000068 |
| Provider Name | Janice Y Tan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053935064 PECOS PAC ID: 1456762350 Enrollment ID: I20220913000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyevista Optometry Of 86, Llc 1883 86th St, Brooklyn, NY 11214-3108 Ph: (718) 256-2020 | Eyevista Optometry Of 86, Llc 1883 86th St, Brooklyn, NY 11214-3108 Ph: (718) 256-2020 |
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