Individual
ISAAK SHARIVKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
11212 QUEENS BLVD, FOREST HILLS, NY 11375-6344
(718) 261-1764
(718) 261-1764
Mailing address
11212 QUEENS BLVD, FOREST HILLS, NY 11375-6344
(718) 261-1764
(718) 261-1764
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006712-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010047901
AMERICHOICE
NY
05
—
01788816
—
NY
01
—
168520
EYE MED VISION CARE
NY
01
—
230230
UNITED HEALTHCARE
NY
01
—
2960956
AETNA
NY
01
—
905828
BLOCK VISION
NY
01
—
9724462
GHI
NY
01
—
P3871801
OXFORD HEALTH PLANS
NY
Enumeration date
03/02/2006
Last updated
04/24/2008
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