| NPI | 1750573093 |
|---|---|
| Doing Business As | ADVANCED EYECARE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY MODESTO Optometrist/President 631-642-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY vut003195) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2008-05-27 |