Organization
EUGENE PARKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE PARKER (OWNER)
(631) 283-0017
Entity
Organization
Contact information
Practice address
270 N SEA RD, SOUTHAMPTON, NY 11968-2034
(631) 283-0017
Mailing address
270 N SEA RD, SOUTHAMPTON, NY 11968-2034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004694-1
NY
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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