# BAYSIDE FASHION OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BARRY L. DRUCKER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275889438
- **Legal business name:** BARRY L. DRUCKER
- **Authorized official:** BARRY L. DRUCKER D.O. (OWNER)
- **Authorized official phone:** (718) 224-5500

## Contact information

- **Practice address:** 58-47 FRANCIS LEWIS BLVD., SUITE 202, OAKLAND GARDENS, NY 11364-1698
- **Practice address phone:** (718) 224-5500
- **Practice address fax:** (718) 281-4634
- **Mailing address:** 58-47 FRANCIS LEWIS BLVD., SUITE 202, OAKLAND GARDENS, NY 11364-1698
- **Mailing address phone:** (718) 224-5500
- **Mailing address fax:** (718) 281-4634

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 113906 | NY | Yes |

## Other

- **Enumeration date:** 07/25/2012
- **Last updated:** 07/25/2012