Organization
SIOC@BAY ST OPTICAL PAVILION
Active
Other names
Bay Street Optical Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN ROSEMARY POWELL RIVERS OD (PRINCIPLE)
(718) 727-5678
Entity
Organization
Contact information
Practice address
664 BAY ST, OPTICAL, STATEN ISLAND, NY 10304-3829
(718) 727-5678
Mailing address
664 BAY ST, OPTICAL, STATEN ISLAND, NY 10304-3829
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004813-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01065163
—
NY
Enumeration date
04/10/2008
Last updated
04/10/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up