Organization
EYES BY LULU
Active
Other names
Vision World
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO BURGUS (OWNER)
18456234766
Entity
Organization
Contact information
Practice address
1013 NANUET MALL, ROCKLAND, NY 10954
(184) 562-3416
Mailing address
1013 NANUET MALL, ROCKLAND, NY 10954
(184) 562-3416
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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