Provider Demographics
NPI:1932205747
Name:BUCHBINDER-KAYE, BETH (OD)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:BUCHBINDER-KAYE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3529 LONG BEACH RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-5701
Mailing Address - Country:US
Mailing Address - Phone:516-764-2020
Mailing Address - Fax:516-764-1518
Practice Address - Street 1:3529 LONG BEACH RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-5701
Practice Address - Country:US
Practice Address - Phone:516-764-2020
Practice Address - Fax:516-764-1518
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2011-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV004979-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC66941Medicare PIN