Provider Demographics
NPI:1104979095
Name:SCHRIER, BARNETT THEODORE (OD)
Entity type:Individual
Prefix:DR
First Name:BARNETT
Middle Name:THEODORE
Last Name:SCHRIER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 PINEVIEW LN
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-5121
Mailing Address - Country:US
Mailing Address - Phone:631-751-2801
Mailing Address - Fax:631-751-2832
Practice Address - Street 1:125 MAIN ST
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-1911
Practice Address - Country:US
Practice Address - Phone:631-751-2801
Practice Address - Fax:631-751-2832
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2801152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU18003Medicare UPIN