IFEOMA EZEKWOM.D. NPI 1629376447

NPI Information

NPI: 1629376447
Provider Name: IFEOMA EZEKWO,M.D.

Doing Business As: BRONX EYE INSTITUTE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3013 GRAND CONCOURSE
BRONX, NY
ZIP 10468
Phone: (718) 367-7888
Get Directions

IFEOMA EZEKWO,M.D. is an eyewear supplier in Bronx, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. IFEOMA EZEKWO,M.D. NPI is 1629376447. The provider is registered as an organization entity type.
The provider Is Doing Business As Bronx Eye Institute.

The provider's business location address is:

3013 GRAND CONCOURSE
BRONX, NY
ZIP 10468-428
Phone: (718) 367-7888

The provider's authorized official is Ifeoma Ernestina Ezekwo .
The authorized official title is Owner and has the following contact phone number (718) 367-7888.

The enumeration date for this NPI number is 3/2/2011 and was last updated on 3/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		156622	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0799959	MEDICAID	NEW YORK
2	A99121	MEDICARE UPIN	NEW YORK
3	08D331	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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