| Astoria Park Eyecare | |
|
2556 Crescent St, Astoria, NY 11102-2938 | |
| (718) 344-1272 | |
| (718) 425-9803 |
| Full Name | Astoria Park Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2556 Crescent St, Astoria, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962916940 | NPI | - | NPPES |
| 06247570 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 008009 (New York) | Primary |
| Provider Name | Rajat Shetty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215375241 PECOS PAC ID: 2365666864 Enrollment ID: I20140626000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Astoria Park Eyecare 2176 21st St, Astoria, NY 11105-3618 Ph: () - | Astoria Park Eyecare 2556 Crescent St, Astoria, NY 11102-2938 Ph: (718) 344-1272 |
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