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SIOC@BAY ST OPTICAL PAVILION NPI 1154594190


NPI Information

NPI: 1154594190
Provider Name: SIOC@BAY ST OPTICAL PAVILION

Doing Business As: BAY STREET OPTICAL PAVILION

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
664 BAY ST
OPTICAL
STATEN ISLAND, NY
ZIP 10304
Phone: (718) 727-5678
Get Directions

SIOC@BAY ST OPTICAL PAVILION is an optometrist in Staten Island, NY. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. SIOC@BAY ST OPTICAL PAVILION NPI is 1154594190. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bay Street Optical Pavilion.

The provider's business location address is:

664 BAY ST
OPTICAL
STATEN ISLAND, NY
ZIP 10304-829
Phone: (718) 727-5678

The provider's authorized official is Carolyn Rosemary Powell Rivers .
The authorized official title is Principle and has the following contact phone number (718) 727-5678.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristTUV004813-1NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U32957MEDICARE UPINNEW YORK
24600190001MEDICARE NSCNEW YORK
301065163MEDICAIDNEW YORK
4C47893MEDICARE PINNEW 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.