| |
940 Montauk Hwy, Copiague, NY 11726-4901 | |
(631) 789-2525 | |
(631) 789-1495 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 940 Montauk Hwy, Copiague, 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 |
---|---|---|---|
1346408416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV005528 (New York) | Primary |
332H00000X | Eyewear Supplier | 003867-1 (New York) | Secondary |
Provider Name | Howard Fishman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124156559 PECOS PAC ID: 3779775077 Enrollment ID: I20101005000787 |
Mailing Address | Practice Location Address |
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940 Montauk Hwy, Copiague, NY 11726-4901 Ph: (631) 789-2525 | 940 Montauk Hwy, Copiague, NY 11726-4901 Ph: (631) 789-2525 |
Optical Solutions 1 Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 940 Montauk Hwy, Copiague, NY 11726 Phone: 631-789-2525 |