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Organization

IMAGE VISION SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID LITOVSKY (MANAGER)
(718) 436-1848
Entity
Organization

Contact information

Practice address
119 CHURCH AVE, BROOKLYN, NY 11218-3917
(718) 436-1848
Mailing address
119 CHURCH AVE, BROOKLYN, NY 11218-3917

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUTOO6567
NY
152WV0400X
Vision Therapy Optometrist
VUT 005953
NY
156FX1800X
Optician
007466-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02640953
NY
Enumeration date
11/21/2006
Last updated
10/28/2013
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