Individual
DR. JUSTIN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
862 E TREMONT AVE, BRONX, NY 10460-4201
(607) 425-5427
Mailing address
3205 NEWTOWN AVE APT 5D, ASTORIA, NY 11102-1330
(607) 425-5427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008464
NY
Other
Enumeration date
08/06/2016
Last updated
02/07/2023
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