Provider Demographics
NPI:1114025822
Name:SCHRIER, KENNETH (OD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:
Last Name:SCHRIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7263 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2407
Mailing Address - Country:US
Mailing Address - Phone:718-263-6754
Mailing Address - Fax:718-263-6548
Practice Address - Street 1:7263 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2407
Practice Address - Country:US
Practice Address - Phone:718-263-6754
Practice Address - Fax:718-263-6548
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3582152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00620466Medicaid
NYC29141Medicare PIN
NY49741AMedicare PIN
NYT31958Medicare UPIN
NY49741Medicare PIN