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Jeffrey Kraushaar
Eyewear Supplier in Shoreham, New York
NPI 1215115605

Jeffrey Kraushaar is a Eyewear Supplier based in Shoreham, NY. Jeffrey Kraushaar practices in Shoreham, NY. The NPI Number for Jeffrey Kraushaar is 1215115605 and holds a License No. VUT004145 (New York).

The current practice location address for Jeffrey Kraushaar is 45 Route 25A, Shoreham, NY and can be reached out via phone at 631-821-2244.

Location: 45 Route 25A, Shoreham, NY, 11786-1389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215115605
Provider Name
Jeffrey Kraushaar
Credential
Provider Entity Type
Organization
Address
45 Route 25A, Shoreham, NY, 11786-1389
Phone Number
631-821-2244
Fax Number
Provider Enumeration Date
02/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C31421 01 NY EMPIRE HEALTHCHOICE
410004627 01 NY RR MEDICARE
008871056 05 NY
institution
Provider Business Practice Location Address Details
Address
45 Route 25A
City
Shoreham
State
New York
Zip
11786-1389
Phone Number
631-821-2244
Fax Number
person
Provider Business Mailing Address Details
Address
45 Route 25A
City
Shoreham
State
New York
Zip
11786-1389
Phone Number
631-821-2244
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
VUT004145 (New York)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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