Provider Demographics
NPI:1508970542
Name:FUCHS, JOSEPH Y (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:Y
Last Name:FUCHS
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 1:658 ARBUCKLE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2702
Mailing Address - Country:US
Mailing Address - Phone:516-569-0551
Mailing Address - Fax:
Practice Address - Street 1:658 ARBUCKLE AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2702
Practice Address - Country:US
Practice Address - Phone:516-569-0551
Practice Address - Fax:516-569-0551
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2017-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV004733-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00993733Medicaid
NY00993733Medicaid
NYC32051Medicare ID - Type Unspecified