Organization
ULTRA VISION OPTICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BART OD (OPTOMETRIST)
(516) 796-2020
Entity
Organization
Contact information
Practice address
812 HICKSVILLE RD, N MASSAPEQUA, NY 11758-1262
(516) 796-2020
(516) 796-3818
Mailing address
812 HICKSVILLE RD, N MASSAPEQUA, NY 11758-1262
(516) 796-2020
(516) 796-3818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
305R00000X
Preferred Provider Organization
TUV006342
NY
Other
Enumeration date
02/20/2007
Last updated
06/15/2023
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