Provider Demographics
NPI:1851434344
Name:EPSTEIN, MARC CHARLES (OD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:CHARLES
Last Name:EPSTEIN
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 1:23 BOND ST
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2025
Mailing Address - Country:US
Mailing Address - Phone:516-487-6660
Mailing Address - Fax:516-487-6648
Practice Address - Street 1:23 BOND ST
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2025
Practice Address - Country:US
Practice Address - Phone:516-487-6660
Practice Address - Fax:516-487-6648
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT003345-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00329671Medicaid
NY00329671Medicaid
C25871Medicare ID - Type Unspecified