| NPI | 1992707491 |
|---|---|
| Doing Business As | FAMILY EYECARE OF MEDFORD |
| Entity Type | Organization |
| Authorized Contact | STEVEN I GOODMAN Dr. 631-758-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY vut005113) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY vut005113) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NY vut005113) | |
| 152WP0200X Optometrist, Pediatrics (Licence: NY vut005113) | |
| 152WS0006X Optometrist, Sports Vision (Licence: NY vut005113) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY vut005113) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: NY vut005113) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2017-03-02 |