Organization
20/20 VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SCOTT (CEO MANAGER)
(646) 448-3390
Entity
Organization
Contact information
Practice address
20 PEACHTREE COURT, SUITE 103H, HOLBROOK, NY 11741-4616
(646) 448-3390
Mailing address
20 PEACHTREE COURT, SUITE 103H, HOLBROOK, NY 11741-4616
(646) 448-3390
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
05/29/2024
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