Organization
PRAISE EYE CARE, OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDY S WU O.D. (OWNER/OPTOMETRIST)
(718) 331-1491
Entity
Organization
Contact information
Practice address
1657 BATH AVE, BROOKLYN, NY 11214-4509
(718) 331-1491
(718) 331-1491
Mailing address
1657 BATH AVE, BROOKLYN, NY 11214-4509
(718) 331-1491
(718) 331-1491
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100000642
MEDICARE PTAN
NY
Enumeration date
11/25/2008
Last updated
01/31/2012
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