Organization
EYECARE ADVANTAGE, INC.
Active
Other names
Eyecare Vision Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VANESSA GIBSON (DIRECTOR)
(631) 647-8859
Entity
Organization
Contact information
Practice address
1555 SUNRISE HWY, BAY SHORE, NY 11706-6027
(631) 647-8859
Mailing address
1953 GRAND AVE, NORTH BALDWIN, NY 11510-2820
(631) 647-8862
(631) 647-8859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0033655-1
NY
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
08/31/2010
Last updated
01/08/2016
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