| Wavecrest Optical Shop | |
|
257 Beach 20th St, Far Rockaway, NY 11691-3625 | |
| (718) 327-2020 | |
| (718) 327-3429 |
| Full Name | Wavecrest Optical Shop |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 257 Beach 20th St, Far Rockaway, 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 |
|---|---|---|---|
| 1871627679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV-004963-1 (New York) | Primary |
| 332H00000X | Eyewear Supplier | 5665 (New York) | Secondary |
| Provider Name | Bryan S Prouse |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265745004 PECOS PAC ID: 4688977929 Enrollment ID: I20160121000063 |
| Mailing Address | Practice Location Address |
|---|---|
| Wavecrest Optical Shop 257 Beach 20th St, Far Rockaway, NY 11691-3625 Ph: (718) 327-2020 | Wavecrest Optical Shop 257 Beach 20th St, Far Rockaway, NY 11691-3625 Ph: (718) 327-2020 |
New Vision Ophthalmology Optometrist Medicare: Not Enrolled in Medicare Practice Location: 493 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-265-9900 Fax: 718-265-9219 | |
Dr. Bryan S Prouse, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 257 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-2020 Fax: 718-327-6125 | |
Dr. Miriam Chopp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 911 Central Ave Apt 2g, Far Rockaway, NY 11691 Phone: 516-650-1605 | |
Wavecrest Optical Shop Optometrist Medicare: Not Enrolled in Medicare Practice Location: 257 Beach 20th St, Far Rockaway, NY 11691 Phone: 718-327-2020 Fax: 718-327-3429 | |
Ocean Park Optical Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1727 Seagirt Blvd, Suite 100, Far Rockaway, NY 11691 Phone: 718-471-5310 Fax: 718-471-0840 | |
Namdar Optometry Pc Optometrist Medicare: Medicare Enrolled Practice Location: 308 Beach 9th St, Far Rockaway, NY 11691 Phone: 718-327-0048 |