Empire Vision Care LLC
Optometrist in Staten Island, NY. Organization (NPI-2).
NPI number1053936633
StatusActive
Last updated in NPPESFeb 16, 2022
Details
- NPI
- 1053936633
- Entity type
- Organization (NPI-2)
- Legal business name
- Empire Vision Care LLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Feb 16, 2022
- Last updated
- Feb 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
11 Ralph PlStaten Island, NY 10304-4401
Phone 732-443-7638
Mailing address
11 Ralph PlStaten Island, NY 10304-4401
Phone 732-443-7638
Authorized official
Justin Rich
Manager
7324437638
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