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 | | 225735 | NEW YORK | No |
| 2 | 207W00000X | Ophthalmology | | 225735 | 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 |
Other Provider Identifier Issuer |
| 1 | P010225735 | OTHER | | MONROE PLAN |
| 2 | 4086529 | OTHER | | AETNA |
| 3 | 5979170001 | MEDICARE NSC | NEW YORK | |
| 4 | 7700447 | OTHER | | MVP SELECT CARE |
| 5 | P00141516 | OTHER | | RAILROAD MEDICARE |
| 6 | P010225735 | OTHER | | EXCELLUS BCBS |
| 7 | 201178047 | OTHER | | UNITED HEALTH CARE EMPIRE |
| 8 | 201178047 | OTHER | | SIDNEY HILLMAN |
| 9 | 201178047 | OTHER | | UNITED HEALTH CARE |
| 10 | A16012 | MEDICARE UPIN | | |
| 11 | RA2836 | MEDICARE PIN | NEW YORK | |
| 12 | 141751CR | OTHER | | PREFERRED CARE |
| 13 | 201178047 | OTHER | | GROUP HEALTH INCORPORATED |
| 14 | 201178047 | OTHER | | WORKERS COMPENSATION |
| 15 | 201178047 | OTHER | | TRICARE |
| 16 | P010225735 | OTHER | | HEALTHY NY |
| 17 | 201178047 | OTHER | | POMCO |
| 18 | 82636 | OTHER | | FIRST HEALTH |
| 19 | 141751CR | OTHER | | PREFERRED CARE OPTION |
| 20 | 7702618 | OTHER | | DOCTORS HEALTH PLAN |
