| Dr Theodore Lyu, MD | |
|
4310 Crescent St, 2103, Long Island City, NY 11101-4215 | |
| (773) 791-7670 | |
| Not Available |
| Full Name | Dr Theodore Lyu |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 16 Years |
| Location | 4310 Crescent St, Long Island City, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760704803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 262034 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elmhurst Hospital Center | Elmhurst, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Daniel Kim Md Total Eye Care Pc | 3870480890 | 5 |
| Icahn School Of Medicine At Mount Sinai | 8224282926 | 298 |
| Entity Name | Daniel Kim Md Total Eye Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629047329 PECOS PAC ID: 3870480890 Enrollment ID: O20040303000510 |
| Entity Name | Kochman Lebowitz & Mogil Md's Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275542177 PECOS PAC ID: 9830081736 Enrollment ID: O20040325001778 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
| Entity Name | Westchester Square Ophthalmology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750873337 PECOS PAC ID: 6608123963 Enrollment ID: O20180718002597 |
| Entity Name | Siuc Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467826594 PECOS PAC ID: 5991058851 Enrollment ID: O20181024000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore Lyu, MD 1301 Avenue J, Brooklyn, NY 11230-3605 Ph: (201) 461-3970 | Dr Theodore Lyu, MD 4310 Crescent St, 2103, Long Island City, NY 11101-4215 Ph: (773) 791-7670 |
Jerreyll Travis Jackson, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4604 31st Ave, Long Island City, NY 11103 Phone: 212-889-1171 | |
Dr. Sumayya Ahmad, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2510 30th Avenue, 4th Floor, C/o Carla Moscoso, Long Island City, NY 11102 Phone: 718-808-7777 | |
Matthew Feinsod, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3711 Queens Blvd, Long Island City, NY 11101 Phone: 718-361-5100 Fax: 718-729-2849 |