Individual
MR. RICHARD CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 E 116TH ST, WIZARD OF EYES, NEW YORK, NY 10029-1342
(212) 996-7676
Mailing address
26 PEBBLE BROOK DR, CARMEL, NY 10512-4317
(845) 208-3345
(845) 208-3344
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371815
—
NY
Enumeration date
09/01/2006
Last updated
07/08/2007
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