Unknown Individual – Optometrist, NPI 1477617744
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
West Avenue, The Bronx, Bronx County, New York, 10462, United States
SUITE 6
SAN ANTONIO, TX 782131370
Phone: (210) 524-6663
Fax: (210) 524-6587
Type: Mailing
1180 BROOKDALE MALL,
SP. #30
BROOKLYN CENTER, MN 55430
Phone: (763) 566-8166
Fax: (763) 566-5627
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78213)
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