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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