Shivani Tank, OD | |
6806 Bay Pkwy, Brooklyn, NY 11204-5524 | |
(718) 236-4352 | |
Not Available |
Full Name | Shivani Tank |
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Gender | Female |
Speciality | Optometrist |
Location | 6806 Bay Pkwy, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194402412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV009833 (New York) | Primary |
Provider Name | Sound Vision Care, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487809406 PECOS PAC ID: 5496801417 Enrollment ID: O20090916000485 |
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 |
Provider Name | Svc Of Bensonhurst Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356095608 PECOS PAC ID: 0446637193 Enrollment ID: O20220518001000 |
Mailing Address | Practice Location Address |
---|---|
Shivani Tank, OD 2730 Hawthorne Dr S, Shelby Township, MI 48316-5541 Ph: (586) 258-6181 | Shivani Tank, OD 6806 Bay Pkwy, Brooklyn, NY 11204-5524 Ph: (718) 236-4352 |
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