Visual Ophthalmology Services, PC
Clinic/Center, Ophthalmologic Surgery in Corona, NY. Organization (NPI-2).
NPI number1982156535
StatusActive
Last updated in NPPESNov 2, 2022
Details
- NPI
- 1982156535
- Entity type
- Organization (NPI-2)
- Legal business name
- Visual Ophthalmology Services, PC
- Organization subpart
- No
- Enumeration date
- Oct 31, 2016
- Certification date
- Nov 2, 2022
- Last updated
- Nov 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS0132X | Clinic/Center, Ophthalmologic Surgery | 209009 | NY | Yes |
| 207W00000X | Ophthalmology | – | – |
Practice location
5548 96th StCorona, NY 11368-3009
Phone 718-271-4472 · Fax 718-271-3011
Mailing address
5548 96th StCorona, NY 11368-3009
Phone 718-271-4472 · Fax 718-271-3011
Authorized official
Panus Romsaitong
Medical Director
7182714472
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