Organization
LUCIEN EYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD DENEVE O.D. (PRESIDENT)
(631) 286-4014
Entity
Organization
Contact information
Practice address
5 BELLPORT LN, BELLPORT, NY 11713-2705
(631) 286-4014
(631) 286-2070
Mailing address
5 BELLPORT LN, BELLPORT, NY 11713-2705
(631) 286-4014
(631) 286-2070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006097TUV
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0547081490000
CIGNA
NY
01
—
1497
GVS
NY
01
—
157939
VYTRA
NY
01
—
163
DAVIS CSEA
NY
01
—
50593
DAVIS
NY
01
—
66599326
GHI
NY
01
—
7182561
AETNA
NY
01
—
864
VISION SCREENING
NY
01
—
NY6097
EYE MED
NY
Enumeration date
10/24/2007
Last updated
10/24/2007
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