Organization
WINDSOR PARK VISION CENTER, LTD
Active
Organization
WINDSOR PARK VISION CENTER, LTD
Active
Other names
Windsor Park Opticians
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ROTHMAN FNAO, ABO, NCLE (OPTICIAN)
(718) 225-5533
Entity
Organization
Contact information
Practice address
21411 73RD AVE, OAKLAND GARDENS, NY 11364-2947
(718) 225-5533
(718) 225-5803
Mailing address
21411 73RD AVE, OAKLAND GARDENS, NY 11364-2947
(718) 225-5533
(718) 225-5803
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C4579
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082844
GHI
NY
05
—
01052946
—
NY
01
—
100186461501
UHC
NY
01
—
110958
EYEMED
NY
01
—
268
DAVIS
NY
01
—
905621
BLOCK
NY
01
—
C53161
BCBS
NY
01
—
P986837
OXFORD
NY
01
—
TUV004679
HIP
NY
Enumeration date
04/19/2007
Last updated
09/01/2016
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