Organization
THE OPTICAL SOURCE
Active
Other names
Sterling Optical # 318
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNIE ALAN ROSEN DO (VICE PRESIDENT)
(631) 348-4545
Entity
Organization
Contact information
Practice address
1744 VETERANS MEMORIAL HIGHWAY, ISLANDIA, NY 11749
(631) 348-4545
(631) 348-7299
Mailing address
1744 VETERANS MEMORIAL HIGHWAY, ISLANDIA, NY 11749
(631) 348-4545
(631) 348-7299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0004616
NY
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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