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Contact Information

COSMOS TOTAL OPTOMETRY CARE PLLC
90-01 ROOSEVELT AVENUE
JACKSON HEIGHTS, NY11372
 Phone: 718-458-8500
 Fax: 718-424-3366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for COSMOS TOTAL OPTOMETRY CARE PLLC · (Female)

NPI Number 1902044829
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2009
Last updated 11/17/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 006061VUT
  • NY License # VUT006061
  • NY Medicaid 02220473
Hospital affiliation(s) Not Available
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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