Organization
OPTIMUM VISION, CORP
Active
Other names
General Vision Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ERICKSEN (OFFICE ASSISTANT)
(718) 477-6700
Entity
Organization
Contact information
Practice address
210 BROADWAY MALL, HICKSVILLE, NY 11801-2709
(516) 938-0055
(516) 938-8667
Mailing address
210 BROADWAY MALL, HICKSVILLE, NY 11801-2709
(516) 938-0055
(516) 938-8667
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005761-1
NY
Other
Enumeration date
09/25/2008
Last updated
08/29/2013
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