Brian S Cornwall (NPI# 1275693624, PAC ID# 1850445768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1275693624 |
| PAC ID by PECOS | 1850445768 |
| Professional Enrollment ID | I20090812000166 |
| Full Name | Brian S Cornwall |
| Organization Legal Name | FRESH EYES INC |
| Address |
6130 A 190th St Fresh Meadows NY 11365-2721 |
| Phone Number | 7189548489 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8628129970 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6130 A 190th St, Fresh Meadows, NY 11365-2721 | 7189548489 | FRESH EYES INC |
| Organization Legal Name | FRESH EYES INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Siegelbaum | Optometry | Fresh Eyes Inc | 6130 A 190th St, Fresh Meadows, NY 11365-2721 |
| Street Address |
6130 A 190TH ST |
| City | FRESH MEADOWS |
| State | NY |
| Zip | 11365-2721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Siegelbaum | Optometry | Fresh Eyes Inc | 6130 A 190th St, Fresh Meadows, NY 11365-2721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell L Chorost | Surgical Oncology | Chs Physician Partners PC | 16033 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1425 |
| Richard Pashayan | Chiropractic | 57 53 Parsons Blvd, Flushing, NY 11365-1430 | |
| Renee Marie Chin | Obstetrics/gynecology | Bethpage Medical Pllc | 163 -03 Horace Harding Expy, Suite 300, Fresh Meadows, NY 11365-1449 |
| Melvin J Breite | Internal Medicine | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Thomas Pappas | Interventional Cardiology | Chs Physician Partners PC | 163 - 03 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1449 |
| Kevin N Jiang | Orthopedic Surgery | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Chong H Park | Interventional Cardiology | Chs Physician Partners PC | 163 - 03 Horace Harding Expy, Suite 100, Fresh Meadows, NY 11365-1449 |
| Cindy C Cheung | Obstetrics/gynecology | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Kevin I Pak | Physical Medicine and Rehabilitation | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Robert M Farrell | Urology | New York Queens Medicine and Surgery, P.C. | 16303 Horace Harding Expy, Suite 2, Fresh Meadows, NY 11365-1449 |
| Find all physicians in zip 11365 | |||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
| Specialty | OPTOMETRY |
| City + Specialty | FRESH MEADOWS + OPTOMETRY |
Please comment or provide details below to improve the information on Brian S Cornwall.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.