| Grace Optical | |
|
3409 Jerome Ave, Bronx, NY 10467-1049 | |
| (718) 231-9000 | |
| Not Available |
| Full Name | Grace Optical |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3409 Jerome Ave, Bronx, 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 |
|---|---|---|---|
| 1114996840 | NPI | - | NPPES |
| 00327000 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 006830 (New York) | Primary |
| Provider Name | Jiyoung Yoon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568482289 PECOS PAC ID: 4183637010 Enrollment ID: I20060807000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Optical 3409 Jerome Ave, Bronx, NY 10467-1049 Ph: (718) 231-9000 | Grace Optical 3409 Jerome Ave, Bronx, NY 10467-1049 Ph: (718) 231-9000 |
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Veronica Moore-stoll, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3130 Grand Concourse Ste B6, Bronx, NY 10458 Phone: 718-741-3200 |