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Organization
PRINCE CENTER FOR THE VISUALLY IMPAIRED
Active
Organization
PRINCE CENTER FOR THE VISUALLY IMPAIRED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIEN G PRINCE MD,MBA,MS-CVRT, CLVT (CHAIRMAN)
(516) 200-3850
Entity
Organization
Contact information
Practice address
550 W MERRICK RD, SUITE 3, VALLEY STREAM, NY 11580-5101
(516) 200-3850
(516) 825-0112
Mailing address
550 W MERRICK RD, SUITE 3, VALLEY STREAM, NY 11580-5101
(516) 200-3850
(516) 825-0112
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
NULL
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
NULL
152WP0200X
Pediatric Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
NULL
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
NULL
152WX0102X
Occupational Vision Optometrist
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
225400000X
Rehabilitation Practitioner
—
NULL
225400000X
Rehabilitation Practitioner
—
—
2255R0406X
Blind Rehabilitation Specialist/Technologist
—
NULL
2255R0406X
Blind Rehabilitation Specialist/Technologist
—
—
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
NULL
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
NULL
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
246QM0706X
Medical Technologist
—
NULL
246QM0706X
Medical Technologist
—
—
Other
Enumeration date
01/10/2017
Last updated
06/11/2019
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