Dr. Jeffrey Kraushaar, O.D.
Optometrist in Shoreham, NY. Individual provider (NPI-1).
NPI number1700860269
StatusActive
Last updated in NPPESMar 6, 2008
Details
- NPI
- 1700860269
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Kraushaar
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 30, 2005
- Last updated
- Mar 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV004145-1 | NY | Yes |
Practice location
45 Route 25aShoreham, NY 11786-1389
Phone 631-821-2244 · Fax 631-821-4228
Mailing address
45 Route 25aShoreham, NY 11786-1389
Phone 631-821-2244 · Fax 631-821-4228
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