| Vision Quest Of Bruckner Corp. | |
|
905 White Plains Rd, Bronx, NY 10473-2522 | |
| (718) 239-9389 | |
| Not Available |
| Full Name | Vision Quest Of Bruckner Corp. |
|---|---|
| Type | Facility |
| Speciality | Eyewear Supplier |
| Location | 905 White Plains Rd, Bronx, 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 |
|---|---|---|---|
| 1003968819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4061 (New York) | Secondary |
| 332H00000X | Eyewear Supplier | 4061 (New York) | Primary |
| Provider Name | Roa F Al-abdalla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730660978 PECOS PAC ID: 9436498151 Enrollment ID: I20190225001405 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245878263 PECOS PAC ID: 9335577568 Enrollment ID: I20200320002282 |
| Provider Name | Dina Franklin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104394253 PECOS PAC ID: 2860891579 Enrollment ID: I20210601000744 |
| Provider Name | Taylor Michael Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013586015 PECOS PAC ID: 3779980727 Enrollment ID: I20220202002495 |
| Provider Name | Siyun Ren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811620834 PECOS PAC ID: 4385171669 Enrollment ID: I20241227000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Quest Of Bruckner Corp. 3073 Steinway St, Astoria, NY 11103-3801 Ph: (718) 626-5184 | Vision Quest Of Bruckner Corp. 905 White Plains Rd, Bronx, NY 10473-2522 Ph: (718) 239-9389 |