Provider Demographics
NPI:1912981002
Name:BAILEY, WAKIL & AURINGER EYE PHYSICIANS & SURGEONS,PLLC
Entity Type:Organization
Organization Name:BAILEY, WAKIL & AURINGER EYE PHYSICIANS & SURGEONS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPHTHALMOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-452-6002
Mailing Address - Street 1:222 GREAT OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-5969
Mailing Address - Country:US
Mailing Address - Phone:518-452-6002
Mailing Address - Fax:518-452-6078
Practice Address - Street 1:222 GREAT OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-5962
Practice Address - Country:US
Practice Address - Phone:518-452-6002
Practice Address - Fax:518-452-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCF9389OtherMEDICARE RAILROAD
NYW33941Medicare PIN
NYAA0319Medicare PIN