Organization Name: | JEFFREY KRAUSHAAR |
NPI Number: | 1215115605 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY KRAUSHAAR (OWNER/OPTOMETRIST) |
Mailing Address: | 45 Route 25a Suite 25a Shoreham |
State: | NY US |
Postal Code: | 117861389 |
Phone Number: | 6318212244 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2008 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | VUT004145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |