1780736660 NPI number — BUXTON EYE SURGICAL P.C.

Table of content: (NPI 1780736660)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780736660 NPI number — BUXTON EYE SURGICAL P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BUXTON EYE SURGICAL P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780736660
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
310 E 14TH ST STE 403
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10003-4201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-979-4410
Provider Business Mailing Address Fax Number:
212-353-5772

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
310 E 14TH ST STE 403
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10003-4201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-979-4410
Provider Business Practice Location Address Fax Number:
212-353-5772
Provider Enumeration Date:
01/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BUXTON
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
FRANCISCO
Authorized Official Title or Position:
OPHTHALMOLOGIST
Authorized Official Telephone Number:
212-979-4410

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  156783-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1367546 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 15678301 . This is a "NEIGHBORHOOD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 582A01 . This is a "EMPIRE BLUE CROSS BLUE SHIELDS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1081833 . This is a "CIGNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 156783B40 . This is a "HEALTHFIRST 65" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00106470007 . This is a "UNITEDHEALTHCARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 163941 . This is a "ELDER PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: BD6783 . This is a "ATLANTIS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 162439 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1000004291 . This is a "AFFINITY HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: MN0003103 . This is a "AMERICHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: NS2197 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4562530 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 6C0929 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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