# 20/20 OPHTHALMOLOGY SERVICES, PLLC

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

## Provider details

- **NPI number:** 1952845448
- **Authorized official:** CHARLES SCOTT (CEO MANAGER)
- **Authorized official phone:** (646) 448-3390

## Contact information

- **Practice address:** 20 PEACHTREE COURT, SUITE 103H, HOLBROOK, NY 11741-4616
- **Practice address phone:** (646) 448-3390
- **Mailing address:** 20 PEACHTREE COURT, SUITE 103H, HOLBROOK, NY 11741-4616
- **Mailing address phone:** (646) 448-3390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 05/29/2024