Organization
SOUTH SHORE OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARVEA THOMPSON OPTICIAN (OWNER OPTICIAN)
(516) 825-8990
Entity
Organization
Contact information
Practice address
1033 GREEN ACRES MALL, VALLEY STREAM, NY 11581
(516) 825-8990
(516) 872-2702
Mailing address
1033 GREEN ACRES MALL, VALLEY STREAM, NY 11581
(516) 825-8990
(516) 872-2702
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T024291
NY
152W00000X
Optometrist
Primary
TUV005493
NY
156FX1800X
Optician
0037511
NY
156FX1800X
Optician
0043021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01016646
—
NY
Enumeration date
07/08/2006
Last updated
01/30/2012
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