Organization
ENTIRE EYE CARE INC
Active
Other names
the little optical on broadway
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY COATS O.D. (PRESIDENT)
(631) 575-1531
Entity
Organization
Contact information
Practice address
116 BROADWAY STE 2, AMITYVILLE, NY 11701-2797
(631) 665-8105
(631) 665-8105
Mailing address
116 BROADWAY STE 2, AMITYVILLE, NY 11701-2797
(631) 665-8105
(631) 665-8105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
55009230
NY
156FC0800X
Contact Lens Technician/Technologist
55009230
NY
156FC0801X
Contact Lens Fitter
55009230
NY
156FX1100X
Ophthalmic Technician/Technologist
Primary
55009230
NY
156FX1800X
Optician
55009230
NY
305S00000X
Point of Service
55009230
NY
332B00000X
Durable Medical Equipment & Medical Supplies
66009230
NY
332H00000X
Eyewear Supplier
55009230
NY
Other
Enumeration date
03/20/2016
Last updated
03/20/2016
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