Organization
EDWARD J MOYLAN OD PC
Active
Other names
North Shore Advanced Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J MOYLAN OD (OPTOMETRIST)
(631) 642-2020
Entity
Organization
Contact information
Practice address
537 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776-1006
(631) 642-2020
(631) 642-3938
Mailing address
537 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776-1006
(631) 642-2020
(631) 642-3938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004922-1
NY
Other
Enumeration date
10/05/2007
Last updated
03/12/2022
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