Jeffrey Kraushaar in Shoreham - Eyewear Supplier

Jeffrey Kraushaar - NPI 1215115605

Jeffrey Kraushaar is a Eyewear Supplier in Shoreham, New York. Jeffrey Kraushaar practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Jeffrey Kraushaar is 1215115605. The last update date is 2008-02-29.

Jeffrey Kraushaar's current location address is 45 Route 25a, Shoreham, New York. You can contact this provider via phone number 6318212244. The mailing address for Jeffrey Kraushaar is 45 Route 25a, Shoreham, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jeffrey Kraushaar
Address 45 Route 25a, Shoreham, New York
Phone Number 6318212244
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/OPTO
Authorized Official Name Kraushaar Jeffrey
Credentials O.D.
Telephone Number 6318212244

NPI Number Detail

NPI Number 1215115605
Provider Enumeration Date 2008-02-07
Last Updated Date 2008-02-29

Provider Mailing Address Detail

Address 45 Route 25a
City Shoreham
State New York (NY)
Post Code 117861389
Phone Number 6318212244
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No VUT004145
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C31421 NY EMPIRE HEALTHCHOICE
410004627 NY RR MEDICARE
8871056 NY --

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FAQs about Jeffrey Kraushaar

What is the unique identifier code issued to Jeffrey Kraushaar by the Centers for Medicare & Medicaid Services (CMS)?

The Jeffrey Kraushaar has been assigned the NPI (National Provider Identifier) 1215115605. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jeffrey Kraushaar is physically located?

The Jeffrey Kraushaar is situated at the following address: 45 Route 25A, Shoreham, NY 117861389.

What is the Jeffrey Kraushaar's area of specialization and corresponding taxonomy classification?

The Jeffrey Kraushaar's specialty field is Eyewear Supplier, and it falls under the taxonomy code 332H00000X, which categorizes healthcare providers based on their specialties.

When was the Jeffrey Kraushaar's 1215115605 issued?

The Jeffrey Kraushaar's 1215115605 was issued on 2008-02-07.

As of what date was the information pertaining to Jeffrey Kraushaar, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeffrey Kraushaar, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-29.

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