# BAYSHORE VISION CENTER,INC.

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

## Provider details

- **NPI number:** 1598932709
- **Authorized official:** DR. SCOTT L. DERCO O.D. (SECRETARY)
- **Authorized official phone:** (631) 666-9595

## Contact information

- **Practice address:** 2044 SUNRISE HWY, BAY SHORE, NY 11706-6018
- **Practice address phone:** (631) 666-9595
- **Practice address fax:** (631) 206-1968
- **Mailing address:** 2044 SUNRISE HWY, BAY SHORE, NY 11706-6018
- **Mailing address phone:** (631) 666-9595
- **Mailing address fax:** (631) 206-1968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | VUT-4532-1 | NY | Yes |

## Other

- **Enumeration date:** 05/15/2008
- **Last updated:** 05/15/2008