Organization
SUMMIT VISION CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE FORUR O.D. (PRES.)
(631) 581-5100
Entity
Organization
Contact information
Practice address
150 ISLIP AVE, SUITE 12, ISLIP, NY 11751-3222
(631) 581-5100
(631) 581-7512
Mailing address
150 ISLIP AVE, SUITE 12, ISLIP, NY 11751-3222
(631) 581-5100
(631) 581-7512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004284
NY
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00887274
—
NY
Enumeration date
02/11/2008
Last updated
02/14/2012
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