Organization
SUPERIOR VISION OF NEW YORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT HERNANDEZ (OWNER)
(212) 567-9351
Entity
Organization
Contact information
Practice address
4767 BROADWAY, NEW YORK, NY 10034-4915
(212) 567-9351
(212) 567-3370
Mailing address
4767 BROADWAY, NEW YORK, NY 10034-4915
(212) 567-9351
(212) 567-3370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003223-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01789688
—
NY
Enumeration date
04/02/2007
Last updated
02/16/2017
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