Organization · NPI-2

20/20 Vision PC

Ophthalmology · Holbrook, NY

NPI number1245863109
StatusActive
Last updated in NPPESMay 29, 2024

Details

NPI
1245863109
Entity type
Organization (NPI-2)
Legal business name
20/20 Vision PC
Organization subpart
No
Enumeration date
Feb 19, 2020
Certification date
May 29, 2024
Last updated
May 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes
152W00000X Optometrist––

Practice location

20 Peachtree Court, Suite 103h
Holbrook, NY 11741-4616

Phone 646-448-3390

Mailing address

20 Peachtree Court, Suite 103h
Holbrook, NY 11741-4616

Phone 646-448-3390

Authorized official

Charles Scott
Ceo Manager
6464483390

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