Individual
DR. BRIAN JON LEWY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
16 E 52ND ST, STE 500, NEW YORK, NY 10022-5306
(212) 752-1212
(212) 752-8507
Mailing address
30 REGENT DR, LIDO BEACH, NY 11561-4923
(212) 752-1212
(212) 752-8507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002616
VA
152W00000X
Optometrist
21447-875
WI
152W00000X
Optometrist
3016
CT
152W00000X
Optometrist
3500
MN
152W00000X
Optometrist
4901005040
MI
152W00000X
Optometrist
DA2597
MD
152W00000X
Optometrist
OPT.0003325
CO
152W00000X
Optometrist
TPOP61
FL
152W00000X
Optometrist
Primary
VUT4433
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VUT4433
LICENSE
NY
Enumeration date
10/11/2005
Last updated
02/17/2023
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