Organization
EYE AND VISION CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE MENDEZ (CREDENTIALING MANAGER)
(718) 484-9112
Entity
Organization
Contact information
Practice address
862 E TREMONT AVE, BRONX, NY 10460-4201
(347) 657-6227
Mailing address
862 E TREMONT AVE, BRONX, NY 10460-4201
(347) 657-6227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/10/2017
Last updated
07/21/2022
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