| Renu Tyagaraj, OD | |
|
206-20 Linden Blvd, Cambria Heights, NY 11411-1524 | |
| (718) 479-6600 | |
| (718) 264-7080 |
| Full Name | Renu Tyagaraj |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 6 Years |
| Location | 206-20 Linden Blvd, Cambria Heights, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851944748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TV009022 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantagecare Physicians Pc | 2365735008 | 302 |
| 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 | Advantagecare Physicians Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
| Provider Name | Svc Of Coram Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619411972 PECOS PAC ID: 8426487315 Enrollment ID: O20200327001175 |
| Provider Name | Svc Of East Setauket Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255875514 PECOS PAC ID: 5597194480 Enrollment ID: O20200327001322 |
| Provider Name | Svc Of Riverhead Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881221695 PECOS PAC ID: 8921437500 Enrollment ID: O20200402000550 |
| Provider Name | Svc Of The Hamptons Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144850934 PECOS PAC ID: 6800225285 Enrollment ID: O20200406002926 |
| Provider Name | Svc Of Forest Hills One, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861003352 PECOS PAC ID: 5890106199 Enrollment ID: O20201117002137 |
| Mailing Address | Practice Location Address |
|---|---|
| Renu Tyagaraj, OD 55 Water St Fl 2, New York, NY 10041-0010 Ph: (646) 680-2888 | Renu Tyagaraj, OD 206-20 Linden Blvd, Cambria Heights, NY 11411-1524 Ph: (718) 479-6600 |