NPI | 1700192580 |
---|---|
Doing Business As | EYECARE VISION SERVICES |
Entity Type | Organization |
Authorized Contact | MICHELLE VANESSA GIBSON Director 631-647-8859 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV0033655-1) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2016-01-08 |