Kings And Queens Optometry P.c. | |
2610 Frederick Douglass Blvd, New York, NY 10030-1704 | |
(347) 632-2610 | |
(347) 632-2611 |
Full Name | Kings And Queens Optometry P.c. |
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Type | Facility |
Speciality | Optometrist |
Location | 2610 Frederick Douglass Blvd, 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 |
---|---|---|---|
1245940816 | NPI | - | NPPES |
04604546 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Justin Lewis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699229740 PECOS PAC ID: 5799066064 Enrollment ID: I20161228000285 |
Mailing Address | Practice Location Address |
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Kings And Queens Optometry P.c. 3205 Newtown Ave Apt 5d, Astoria, NY 11102-1330 Ph: (607) 425-5427 | Kings And Queens Optometry P.c. 2610 Frederick Douglass Blvd, New York, NY 10030-1704 Ph: (347) 632-2610 |
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