Organization
DLJ SPECTACLES
Active
Other names
Southside Family Vision
Organization subpart
No
Provider details
NPI number
Authorized official
STUART DAWSON (OWNER)
(631) 813-1112
Entity
Organization
Contact information
Practice address
2 W MAIN ST, BAY SHORE, NY 11706-8309
(631) 813-1112
Mailing address
2 W MAIN ST, BAY SHORE, NY 11706-8309
(631) 813-1112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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