Optical Warehouse Outlet Nyc Incorporated | |
440 Knickerbocker Ave, Brooklyn, NY 11237-4509 | |
(347) 295-1605 | |
Not Available |
Full Name | Optical Warehouse Outlet Nyc Incorporated |
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Type | Facility |
Speciality | Optometrist |
Location | 440 Knickerbocker Ave, Brooklyn, 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 |
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1811604036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Nadezhda Nisimova |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841546918 PECOS PAC ID: 6800044611 Enrollment ID: I20120920000521 |
Provider Name | Kahei Chan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306297445 PECOS PAC ID: 8325326937 Enrollment ID: I20161102002421 |
Mailing Address | Practice Location Address |
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Optical Warehouse Outlet Nyc Incorporated 440 Knickerbocker Ave, Brooklyn, NY 11237-4509 Ph: (347) 295-1605 | Optical Warehouse Outlet Nyc Incorporated 440 Knickerbocker Ave, Brooklyn, NY 11237-4509 Ph: (347) 295-1605 |
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