| NPI | 1922217355 |
|---|---|
| Former Legal Business Name | FREDERIC K. NEVINS |
| Entity Type | Organization |
| Authorized Contact | LAURA M PRAK Office Manager 212-807-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV003280-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006825-1) |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV006664-1) | |
| 152W00000X Optometrist (Licence: NY TUV006641-1) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2011-12-01 |