Provider Demographics
NPI:1336240456
Name:EYE CARE OPHTHALMOLOGY PC
Entity Type:Organization
Organization Name:EYE CARE OPHTHALMOLOGY PC
Other - Org Name:GLAUCOMA CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:PRYWES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-731-4800
Mailing Address - Street 1:4212 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5701
Mailing Address - Country:US
Mailing Address - Phone:516-731-4800
Mailing Address - Fax:516-731-4816
Practice Address - Street 1:4212 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5701
Practice Address - Country:US
Practice Address - Phone:516-731-4800
Practice Address - Fax:516-731-4816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2015-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4716860001Medicare NSC
NYW86551Medicare PIN