Provider Demographics
NPI:1780772913
Name:SCHRIER EYECARE CENTER
Entity type:Organization
Organization Name:SCHRIER EYECARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHRIER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:718-424-1277
Mailing Address - Street 1:8007 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6719
Mailing Address - Country:US
Mailing Address - Phone:718-424-1277
Mailing Address - Fax:718-672-2218
Practice Address - Street 1:8007 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6719
Practice Address - Country:US
Practice Address - Phone:718-424-1277
Practice Address - Fax:718-672-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3582152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00620466Medicaid
NY49741Medicare PIN
NY00620466Medicaid
NYG100035710Medicare PIN