MR. MOHAMED FEROZE BACCHUS


Address: 356 19th St, New York, NY 10003
Phone: 2126744121

MR. MOHAMED FEROZE BACCHUS (NPI# 1184705873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184705873
Entity Type Individual
Full Name MR. MOHAMED FEROZE BACCHUS
Credential OPTICIAN OPHTHALMIC
Practice Address 356 19th St
New York
NY 10003
Practice Telephone 2126744121
Mailing Telephone 2126744121
Enumeration Date 2006-10-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
C005355 NY Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01338403 05

Office Location

Street Address 356 19TH ST
City NEW YORK
State NY
Zip Code 10003

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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