Eyecare Advantage, INC.
Optometrist in Bay Shore, NY. Organization (NPI-2).
NPI number1700192580
StatusActive
Last updated in NPPESJan 8, 2016
Details
- NPI
- 1700192580
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyecare Advantage, INC.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2010
- Last updated
- Jan 8, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV0033655-1 | NY | Yes |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – |
Other names
- Eyecare Vision Services (Doing Business As)
Practice location
1555 Sunrise HwyBay Shore, NY 11706-6027
Phone 631-647-8859
Mailing address
1953 Grand AveNorth Baldwin, NY 11510-2820
Phone 631-647-8862 · Fax 631-647-8859
Authorized official
Michelle Vanessa Gibson
Director
6316478859
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All 19 Optometrist providers in Bay Shore · All 2,254 providers in Bay Shore
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