Far Rockaway Eyecare

LBN: P. Woodyear Corp.
Far Rockaway Eyecare is an health care organization with primary practice located at 1304 Beach Channel Dr , Far Rockaway NY 11691-3206. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. P. Woodyear Corp. can be contacted via phone (718) 337-2020, or through Yearwood, Paul via phone (718) 337-2020.

Contact Information

Primary practice address
1304 Beach Channel Dr Far Rockaway NY 11691-3206
Fax: (718) 337-2257
Website:
Authorized official contact:
Name: Yearwood, Paul

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2105 New York

Profile Details

NPI number 1891999769
LBN Legal business name P. Woodyear Corp.
DBA Doing business as Far Rockaway Eyecare
Authorized official Yearwood, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Apr 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891999769 NPPES
New York MEDICAID 02061383

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