Renu Tyagaraj, OD | |
206-20 Linden Blvd, Cambria Heights, NY 11411-1524 | |
(718) 479-6600 | |
(718) 264-7080 |
Full Name | Renu Tyagaraj |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 5 Years |
Location | 206-20 Linden Blvd, Cambria Heights, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851944748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TV009022 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advantagecare Physicians Pc | 2365735008 | 318 |
Provider Name | Sound Vision Care, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487809406 PECOS PAC ID: 5496801417 Enrollment ID: O20090916000485 |
Provider Name | Advantagecare Physicians Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
Provider Name | Svc Of Coram Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619411972 PECOS PAC ID: 8426487315 Enrollment ID: O20200327001175 |
Provider Name | Svc Of East Setauket Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255875514 PECOS PAC ID: 5597194480 Enrollment ID: O20200327001322 |
Provider Name | Svc Of Riverhead Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881221695 PECOS PAC ID: 8921437500 Enrollment ID: O20200402000550 |
Provider Name | Svc Of The Hamptons Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144850934 PECOS PAC ID: 6800225285 Enrollment ID: O20200406002926 |
Provider Name | Svc Of West Islip Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255949343 PECOS PAC ID: 9739509316 Enrollment ID: O20201020003472 |
Provider Name | Svc Of Forest Hills One, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861003352 PECOS PAC ID: 5890106199 Enrollment ID: O20201117002137 |
Mailing Address | Practice Location Address |
---|---|
Renu Tyagaraj, OD 55 Water Street 2nd Floor Cred Dept, New York, NY 10041-0010 Ph: (646) 680-2888 | Renu Tyagaraj, OD 206-20 Linden Blvd, Cambria Heights, NY 11411-1524 Ph: (718) 479-6600 |