Primary Vision Care I, L.l.c. | |
1236 Castle Hill Ave, Bronx, NY 10462-4805 | |
(718) 299-3456 | |
(718) 299-1040 |
Full Name | Primary Vision Care I, L.l.c. |
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Type | Facility |
Speciality | Optometrist |
Location | 1236 Castle Hill 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 |
---|---|---|---|
1578583415 | NPI | - | NPPES |
01893205 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV005576-1 (New York) | Primary |
Provider Name | Sharon L Williams |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295798296 PECOS PAC ID: 3072651033 Enrollment ID: I20091124000220 |
Mailing Address | Practice Location Address |
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Primary Vision Care I, L.l.c. Po Box 1006, Bronx, NY 10473-0961 Ph: (718) 299-3456 | Primary Vision Care I, L.l.c. 1236 Castle Hill Ave, Bronx, NY 10462-4805 Ph: (718) 299-3456 |
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