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905 White Plains Rd, Bronx, NY 10473-2522 | |
(718) 239-9389 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Eyewear Supplier |
Location | 905 White Plains Rd, 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 |
---|---|---|---|
1003968819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4061 (New York) | Secondary |
332H00000X | Eyewear Supplier | 4061 (New York) | Primary |
Provider Name | Michael M Sloane |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912959214 PECOS PAC ID: 5698805356 Enrollment ID: I20100608000082 |
Provider Name | Roa F Al-abdalla |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730660978 PECOS PAC ID: 9436498151 Enrollment ID: I20190225001405 |
Provider Name | Vishal Patel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245878263 PECOS PAC ID: 9335577568 Enrollment ID: I20200320002282 |
Provider Name | Dina Franklin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104394253 PECOS PAC ID: 2860891579 Enrollment ID: I20210601000744 |
Provider Name | Taylor Michael Davis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013586015 PECOS PAC ID: 3779980727 Enrollment ID: I20220202002495 |
Mailing Address | Practice Location Address |
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3073 Steinway St, Astoria, NY 11103-3801 Ph: (718) 626-5184 | 905 White Plains Rd, Bronx, NY 10473-2522 Ph: (718) 239-9389 |