Provider Demographics
NPI:1538678560
Name:KAUR, BHAJNEET (OD)
Entity Type:Individual
Prefix:DR
First Name:BHAJNEET
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8626 122ND ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2505
Mailing Address - Country:US
Mailing Address - Phone:917-251-1272
Mailing Address - Fax:
Practice Address - Street 1:3250 VERNON BLVD
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4927
Practice Address - Country:US
Practice Address - Phone:182-746-7677
Practice Address - Fax:718-274-6766
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3050152W00000X
NYTUV008695152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist