Organization
THE WANDERING EYE
Active
Other names
Jeff Roth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S ROTH FNAO (OPTICIAN OWNER)
(516) 378-5183
Entity
Organization
Contact information
Practice address
526 NORTH 12TH ST, NEW HYDE PARK, NY 11040-4340
(516) 318-5183
Mailing address
526 NORTH 12TH ST, NEW HYDE PARK, NY 11040-4340
(516) 318-5183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007084
NY
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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