<Unavail>

LBN: Kingsbridge Optometric Eye Care P.C.
<Unavail> is an health care organization with primary practice located at 103 W Kingsbridge Rd , Bronx NY 10468-3902. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kingsbridge Optometric Eye Care P.C. can be contacted via phone (718) 432-5555, or through Bae, Peter S via phone (718) 432-5555.

Contact Information

Primary practice address
103 W Kingsbridge Rd Bronx NY 10468-3902
Phone: (718) 432-5555
Fax: (718) 548-2399
Website:
Map and Directions
Authorized official contact:
Name: Bae, Peter S Doctor of Optometry (OD)
Phone: (718) 432-5555

Health care specialties

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

Profile Details

NPI number 1487637500
LBN Legal business name Kingsbridge Optometric Eye Care P.C.
DBA Doing business as <Unavail>
Authorized official Bae, Peter S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 18th, 2010 - about 16 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 1487637500 NPPES
New York MEDICAID 02632864

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