Organization
PRIMARY VISION CARE 1, LLC
Active
Other names
Primary Vision Care I, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON LOUISE WILLIAMS OD (CEO/DOCTOR)
(718) 299-3456
Entity
Organization
Contact information
Practice address
1236 CASTLE HILL AVE, BRONX, NY 10462-4805
(718) 299-3456
(718) 299-1040
Mailing address
PO BOX 1006, BRONX, NY 10473-0961
(718) 299-3456
(718) 299-1040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005576-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01893205
—
NY
Enumeration date
07/21/2006
Last updated
02/07/2024
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