| Grand Central Optical Co Inc | |
|
340 Madison Ave, New York, NY 10173-0002 | |
| (212) 599-1220 | |
| (646) 666-5710 |
| Full Name | Grand Central Optical Co Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 340 Madison Ave, New York, 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 |
|---|---|---|---|
| 1649221268 | NPI | - | NPPES |
| 05816793 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 332H00000X | Eyewear Supplier | 5216 (New York) | Secondary |
| Provider Name | Lisa Declemente |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578780250 PECOS PAC ID: 1153213707 Enrollment ID: I20040327000267 |
| Provider Name | Jonah B Berman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194702589 PECOS PAC ID: 8628043478 Enrollment ID: I20040826000728 |
| Provider Name | Michael N Block |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750334967 PECOS PAC ID: 7911918099 Enrollment ID: I20060606000286 |
| Provider Name | Mijin Sohn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881609246 PECOS PAC ID: 8921100975 Enrollment ID: I20070222000567 |
| Provider Name | Jennifer Tsai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134532492 PECOS PAC ID: 3678794518 Enrollment ID: I20141018000012 |
| Provider Name | Puja Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558675942 PECOS PAC ID: 8527251560 Enrollment ID: I20180830002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Central Optical Co Inc 340 Madison Ave, New York, NY 10173-0002 Ph: (212) 599-1220 | Grand Central Optical Co Inc 340 Madison Ave, New York, NY 10173-0002 Ph: (212) 599-1220 |
Lipton Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 141 Division St, New York, NY 10002 Phone: 212-393-1341 | |
Cohen's Fashion Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 167 W 72nd St, New York, NY 10023 Phone: 212-769-1410 | |
Marta Fabrykowski, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 210 E 64th St, New York, NY 10065 Phone: 212-838-9200 | |
Dina Solanky, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3929 Broadway, New York, NY 10032 Phone: 212-568-4693 Fax: 212-568-4694 | |
Dr. Lisa Chen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 551 5th Ave Fl 2, New York, NY 10176 Phone: 212-719-4000 Fax: 212-382-2123 | |
Gary Tracy, Od P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 210 W 79th St, New York, NY 10024 Phone: 212-877-5840 Fax: 212-877-5841 | |
Hmy Ophthalmic Dispenser Pc Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 212 3rd Ave, New York, NY 10003 Phone: 212-982-4469 |