SPECIALIZED EYE CARE OF BAY RIDGE LLC NPI 1659783132

NPI Information

NPI: 1659783132
Provider Name: SPECIALIZED EYE CARE OF BAY RIDGE, LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 33D2094421

Address:
8723 3RD AVE
BROOKLYN, NY
ZIP 11209
Phone: (718) 491-2020
Get Directions

SPECIALIZED EYE CARE OF BAY RIDGE, LLC is an eyewear supplier in Brooklyn, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. SPECIALIZED EYE CARE OF BAY RIDGE, LLC NPI is 1659783132. The provider is registered as an organization entity type.

The provider's business location address is:

8723 3RD AVE
BROOKLYN, NY
ZIP 11209-103
Phone: (718) 491-2020

The provider's authorized official is Joanne L Pass .
The authorized official title is Administrator and has the following contact phone number (917) 848-5484.

The CLIA number assigned to this NPI record is 33D2094421 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2014 and was last updated on 10/8/2014.

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		009057	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	7183350001	OTHER	NEW YORK	MEDICARE PTAN

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: 5/5/2024

NPI Synchronization or Removal

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