Soundview Optometry, PLLC
Optometrist in Shoreham, NY. Organization (NPI-2).
NPI number1689192551
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1689192551
- Entity type
- Organization (NPI-2)
- Legal business name
- Soundview Optometry, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV004145 | NY | Yes |
Practice location
45 Route 25a Ste FShoreham, NY 11786-1389
Phone 631-821-2244 · Fax 631-821-4228
Mailing address
45 Route 25a Ste FShoreham, NY 11786-1389
Phone 631-821-2244 · Fax 631-821-4228
Authorized official
Jeffrey Kraushaar
Owner/Optometrist
6318212244
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