Organization
PARK AVENUE EYELAND INC.
Active
Other names
Family Eyecare Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LELAND STANN BARRY O.D. (OPTOMETRIST)
(516) 670-0600
Entity
Organization
Contact information
Practice address
58 W PARK AVE, LONG BEACH, NY 11561-2030
(516) 670-0600
Mailing address
186 BLACKHEATH RD, LIDO BEACH, NY 11561-4840
(516) 889-0401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004095
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01059952
—
NY
Enumeration date
01/10/2007
Last updated
11/03/2008
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