Organization
BAYSHORE VISION CENTER,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L. DERCO O.D. (SECRETARY)
(631) 666-9595
Entity
Organization
Contact information
Practice address
2044 SUNRISE HWY, BAY SHORE, NY 11706-6018
(631) 666-9595
(631) 206-1968
Mailing address
2044 SUNRISE HWY, BAY SHORE, NY 11706-6018
(631) 666-9595
(631) 206-1968
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
VUT-4532-1
NY
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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