Organization · NPI-2
20/20 Vision Services Of Texas, PA
Ophthalmology · Holbrook, NY
NPI number1154091023
StatusActive
Last updated in NPPESMay 29, 2024
Details
- NPI
- 1154091023
- Entity type
- Organization (NPI-2)
- Legal business name
- 20/20 Vision Services Of Texas, PA
- Organization subpart
- No
- Enumeration date
- Sep 14, 2021
- Certification date
- May 29, 2024
- Last updated
- May 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – |
Practice location
20 Peachtree Court, Suite 103hHolbrook, NY 11741-4616
Phone 646-448-3390
Mailing address
20 Peachtree Court, Suite 103hHolbrook, NY 11741-4616
Phone 646-448-3390
Authorized official
Charles Scott
Ceo Manager
6464483390
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