| Premier Vision Consultants, Llc | |
|
14008 Sanford Ave 1st Floor Flushing NY 11355-2683 | |
| (917) 721-6751 | |
| Not Available |
| Full Name | Premier Vision Consultants, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14008 Sanford Ave, Flushing, New York |
| Authorized Official Name and Position | Diana Ma (OPTOMETRIST/PRESIDENT) |
| Authorized Official Contact | 9177216751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Vision Consultants, Llc 14008 Sanford Ave 1st Floor Flushing NY 11355-2683 Ph: () - | Premier Vision Consultants, Llc 14008 Sanford Ave 1st Floor Flushing NY 11355-2683 Ph: (917) 721-6751 |
| NPI Number | 1881971729 |
|---|---|
| Provider Enumeration Date | 11/07/2011 |
| Last Update Date | 11/07/2011 |
| Medicare PECOS PAC ID | 3779739677 |
|---|---|
| Medicare Enrollment ID | O20120808000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881971729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | TUV7306 (New York) | Primary |
| Provider Name | Diana S Ma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689839110 PECOS PAC ID: 0749330231 Enrollment ID: I20090603000511 |
| Provider Name | Melissa L Yip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467694372 PECOS PAC ID: 4981850898 Enrollment ID: I20120808000964 |
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