Organization
INNOVISION OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETAN H KUTLERYWALA OD (OWNER/OPTOMETRIST)
(845) 296-0291
Entity
Organization
Contact information
Practice address
2001 SOUTH RD, POUGHKEEPSIE, NY 12601-5978
(845) 296-0291
(845) 296-0432
Mailing address
2001 SOUTH RD, POUGHKEEPSIE, NY 12601-5978
(845) 296-0291
(845) 296-0432
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7391
NY
Other
Enumeration date
04/12/2011
Last updated
10/03/2014
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