| Dr Bryan Robert Sookoo, OD | |
|
901 Boulevard E, Yaphank, NY 11980-7511 | |
| (631) 729-4041 | |
| (631) 205-7157 |
| Full Name | Dr Bryan Robert Sookoo |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 901 Boulevard E, Yaphank, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467010173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 009227 (New York) | Primary |
| Provider Name | Sound Vision Care, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487809406 PECOS PAC ID: 5496801417 Enrollment ID: O20090916000485 |
| Provider Name | Svc of Fresh Meadows LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891398384 PECOS PAC ID: 0648684001 Enrollment ID: O20210126000738 |
| Provider Name | Svc of Manhasset LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366059172 PECOS PAC ID: 4486060753 Enrollment ID: O20210311000102 |
| Provider Name | Svc of Bensonhurst LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356095608 PECOS PAC ID: 0446637193 Enrollment ID: O20220518001000 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bryan Robert Sookoo, OD 39 Sylvan Dr, Holtsville, NY 11742-2113 Ph: (631) 398-7059 | Dr Bryan Robert Sookoo, OD 901 Boulevard E, Yaphank, NY 11980-7511 Ph: (631) 729-4041 |
Ms. Karen Hamann-casella, M.S. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14 Adams Cmns, Yaphank, NY 11980 Phone: 631-728-6353 |