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Lisa Elaine Faret, TVI

Optometrist, Vision Therapy in Garden City, NY. Individual provider (NPI-1).

NPI number1982809638
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982809638
Entity type
Individual (NPI-1)
Name
Lisa Elaine Faret
Credential
TVI
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 20, 2007
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152WV0400X Optometrist, Vision Therapy–NYYes

Practice location

300 Garden City Plz
Garden City, NY 11530-3302

Phone 516-747-9030

Mailing address

167 Homer Ave
Deer Park, NY 11729-2510

Phone 631-586-4315

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