Fabulous Optical | |
12102 Liberty Ave, South Richmond Hill, NY 11419-2112 | |
(718) 835-3400 | |
Not Available |
Full Name | Fabulous Optical |
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Type | Facility |
Speciality | Optometrist |
Location | 12102 Liberty Ave, South Richmond Hill, 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 |
---|---|---|---|
1235538596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV007786 (New York) | Primary |
Provider Name | Paul Obasuyi |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730463118 PECOS PAC ID: 3173786712 Enrollment ID: I20120518000398 |
Provider Name | Leonard Fuzaylov |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225480296 PECOS PAC ID: 4385924323 Enrollment ID: I20161208000287 |
Provider Name | Silena Rivera |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053827543 PECOS PAC ID: 7012277197 Enrollment ID: I20180209001649 |
Provider Name | Anna Khesin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912429226 PECOS PAC ID: 4284994294 Enrollment ID: I20180213002359 |
Provider Name | Marina Presman |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699243600 PECOS PAC ID: 0244576684 Enrollment ID: I20190107001872 |
Provider Name | Lhamo Kyi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891304465 PECOS PAC ID: 1456778604 Enrollment ID: I20200902001016 |
Provider Name | Vivek Goyal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003461880 PECOS PAC ID: 0446678494 Enrollment ID: I20200908003043 |
Provider Name | Ian Price Olexio |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184392490 PECOS PAC ID: 4486042488 Enrollment ID: I20211025001234 |
Provider Name | Gursewak Singh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1891476347 PECOS PAC ID: 3274997895 Enrollment ID: I20230915001471 |
Mailing Address | Practice Location Address |
---|---|
Fabulous Optical 12102 Liberty Ave, South Richmond Hill, NY 11419-2112 Ph: (718) 835-3400 | Fabulous Optical 12102 Liberty Ave, South Richmond Hill, NY 11419-2112 Ph: (718) 835-3400 |
Dr. Jocelyn Tan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12714 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-845-6888 | |
Dr. Asi Ressler, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12714 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-845-6888 Fax: 718-845-9708 | |
Liberty Eyecare Corp Optometrist Medicare: Medicare Enrolled Practice Location: 11702 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-517-9191 Fax: 718-129-9199 | |
Dr. Natalie Bissoon, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12015 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-843-2156 Fax: 718-843-2691 | |
Jireh Eye Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 11110 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-641-3450 Fax: 718-641-3792 | |
Complete Optometry Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12015 Liberty Ave, South Richmond Hill, NY 11419 Phone: 718-843-2156 |