Fourth Avenue Vision Center, Inc. is a
Optometrist based in Mt. Vernon, New York. Fourth Avenue Vision Center, Inc. is licensed to practice in New York (license number 002488) and their current practice location is
55 S. Fourth Ave., Mt. Vernon, New York. It can be reached at their office (for appointments etc.) via phone at
(914) 664-4600.
NPI number for Fourth Avenue Vision Center, Inc. is 1578773081 and their current mailing address is 55 S 4th Ave, Mt Vernon, New York. Fourth Avenue Vision Center, Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578773081.
Healthcare Provider's Profile
| Full Name | Fourth Avenue Vision Center, Inc. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 55 S. Fourth Ave., Mt. Vernon, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1578773081
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 10/04/2007
Medical Identifiers
Medical identifiers for Fourth Avenue Vision Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578773081 | NPI | - | NPPES |
| 02902789 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 002488 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fourth Avenue Vision Center, Inc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fourth Avenue Vision Center, Inc.
55 S 4th Ave,
Mt Vernon, NY 10550-3104
Ph: (914) 664-4600 | Fourth Avenue Vision Center, Inc.
55 S. Fourth Ave.,
Mt. Vernon, NY 10550-3104
Ph: (914) 664-4600 |
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