# NORTH SHORE HAMPTON MEDICAL AND SURGICAL EYE CARE, P.C.

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

## Provider details

- **NPI number:** 1417239500
- **Authorized official:** SHAUN ANDERSON (ADMINISTRATOR)
- **Authorized official phone:** (631) 265-8780

## Contact information

- **Practice address:** 54 COMMERCE AVE, SUITE 6 RIVERHEAD COMMERCE PARK, RIVERHEAD, NY 11901-4454
- **Practice address phone:** (631) 265-8780
- **Mailing address:** 260 MIDDLE COUNTRY RD, 201, SMITHTOWN, NY 11787-2982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |

## Other

- **Enumeration date:** 09/14/2011
- **Last updated:** 09/14/2011