Organization
PUBLIC EYE OPTICAL DISPENSARY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER WHITTAKER (CREDENTIALING SPECIALIST)
(617) 453-9505
Entity
Organization
Contact information
Practice address
8 GREENLAWN RD STE 1, HUNTINGTON, NY 11743-2926
(631) 423-3323
(631) 423-3324
Mailing address
8 GREENLAWN RD STE 1, HUNTINGTON, NY 11743-2926
(631) 423-3323
(631) 423-3324
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009230-1
NY
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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