Organization
PARK AVE EYELAND EAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND BARRY O.D. (OWNER/PRESIDENT)
(516) 670-0600
Entity
Organization
Contact information
Practice address
651 E PARK AVE, LONG BEACH, NY 11561-2512
(561) 670-0700
(516) 442-3669
Mailing address
651 E PARK AVE, LONG BEACH, NY 11561-2512
(561) 670-0700
(516) 442-3669
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004095-1
NY
Other
Enumeration date
07/11/2011
Last updated
03/17/2017
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