Organization
NY EYE CARE OPTOMETRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN LEE RENTA OD (OPTOMETRIST)
(631) 231-2073
Entity
Organization
Contact information
Practice address
1758 BRENTWOOD RD, BRENTWOOD, NY 11717-5522
(631) 231-2073
(631) 231-2008
Mailing address
1758 BRENTWOOD RD, BRENTWOOD, NY 11717-5522
(631) 231-2073
(631) 231-2008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02751444
—
NY
Enumeration date
08/01/2006
Last updated
12/03/2007
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