Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bryan S Prouse, OD

Individual provider Optometrist · NPI 1265745004

Dr. Bryan S Prouse, OD is an Optometry in Far Rockaway, New York. Graduated from State University of New York - State College Optometry in 2010, 16 years ago. Practices with 200 West Optics LLC, a 36-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2010
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

257 Beach 20th St
Far Rockaway, NY 11691-3625
Phone: (718) 327-2020
Fax: (718) 327-6125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV7547-1 (NY)

Record details

NPI number1265745004
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 21, 2010
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address130 Meadow Ln, New Rochelle, NY 10805-2323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 2010 (16 years in practice)
Group practice 200 West Optics Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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