Organization
IPPOLITO TELEOPTOMETRIC SERVICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA FELICIANO (CREDENTIALING MANAGER)
(513) 586-2863
Entity
Organization
Contact information
Practice address
801 ADLAI STEVENSON DR, SPRINGFIELD, IL 62703-4261
(877) 506-0002
Mailing address
1979 MARCUS AVE STE 206, NEW HYDE PARK, NY 11042-1002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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