Provider Demographics
NPI:1053438564
Name:BESSLER, MICHELE ROBIN (OD)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:ROBIN
Last Name:BESSLER
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 1:25 AMHERST RD
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-4101
Mailing Address - Country:US
Mailing Address - Phone:516-767-8713
Mailing Address - Fax:
Practice Address - Street 1:265 POST AVENUE
Practice Address - Street 2:SUITE 380
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2233
Practice Address - Country:US
Practice Address - Phone:516-334-9385
Practice Address - Fax:516-334-9388
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005207-1152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy