National Provider Identifier Database

BOAZ J LISSAUER, MD – NPI #1639173123
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

BOAZ J LISSAUER, MD
1036 PARK AVE
SUITE 1C
NEW YORK, NY10028-0971
Phone: 212-717-2150
Fax: 212-717-2154
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X
Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for BOAZ J LISSAUER

NPI Number 1639173123
Credentials MD
Entity Individual
Enumeration date 06/13/2005
Last updated 06/25/2009 - About 17 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 25MA07699200
  • NY License #: 208452
  • Other: 7554155 AETNA
  • Other: P2647045 OXFORD
  • NY Other: 1000035875 AFFNITY HEALTH PLAN
  • NY Other: BL0482B310 BLUE CROSS BLUE SHIELD
  • NY Other: 271252B DIVISION 1181 MAGNACARE
  • NY Other: BL0482B310 FEDERAL BLUE CROSS BLUE S
  • NY Other: 0498250 GHI
  • NY Other: 208452 HIP
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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