# PRINCE CENTER FOR THE VISUALLY IMPAIRED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245776640
- **Authorized official:** DR. LUCIEN G PRINCE MD,MBA,MS-CVRT, CLVT (CHAIRMAN)
- **Authorized official phone:** (516) 200-3850

## Contact information

- **Practice address:** 550 W MERRICK RD, SUITE 3, VALLEY STREAM, NY 11580-5101
- **Practice address phone:** (516) 200-3850
- **Practice address fax:** (516) 825-0112
- **Mailing address:** 550 W MERRICK RD, SUITE 3, VALLEY STREAM, NY 11580-5101
- **Mailing address phone:** (516) 200-3850
- **Mailing address fax:** (516) 825-0112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | Yes |
| 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