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WOODHAVEN OPTOMETRIC ASSOCIATES P.C. NPI 1780750141


NPI Information

NPI: 1780750141
Provider Name: WOODHAVEN OPTOMETRIC ASSOCIATES, P.C.

Other Name: WOODHAVEN EYE CARE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
9301 JAMAICA AVE
WOODHAVEN, NY
ZIP 11421
Phone: (718) 847-8877
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WOODHAVEN OPTOMETRIC ASSOCIATES, P.C. is an eyewear supplier in Woodhaven, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. WOODHAVEN OPTOMETRIC ASSOCIATES, P.C. NPI is 1780750141. The provider is registered as an organization entity type.
The provider Other Name Is Woodhaven Eye Care.

The provider's business location address is:

9301 JAMAICA AVE
WOODHAVEN, NY
ZIP 11421-220
Phone: (718) 847-8877
Fax: (718) 849-5934

The provider's authorized official is Ira Marc Price .
The authorized official title is President and has the following contact phone number (718) 847-8877.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.


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
1332H00000XEyewear SupplierTUV004811NEW 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
101526636MEDICAIDNEW 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

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