Sohail Sakkari, | |
21543 Jamaica Ave, Queens Village, NY 11428-1736 | |
(718) 265-0424 | |
Not Available |
Full Name | Sohail Sakkari |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 21543 Jamaica Ave, Queens Village, 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 |
---|---|---|---|
1477106201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 00849 (New York) | Secondary |
152W00000X | Optometrist | 008949 (New York) | Primary |
Provider Name | Lens Lab Express Of Graham Avenue Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043370620 PECOS PAC ID: 0840571089 Enrollment ID: O20170103000398 |
Mailing Address | Practice Location Address |
---|---|
Sohail Sakkari, 9425 85th Rd, Woodhaven, NY 11421-1706 Ph: (347) 666-7798 | Sohail Sakkari, 21543 Jamaica Ave, Queens Village, NY 11428-1736 Ph: (718) 265-0424 |
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