Organization
NANUET VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN BLUSTEIN O.D. (OWNER)
(845) 623-5100
Entity
Organization
Contact information
Practice address
125 ROCKLAND PLZ, NANUET, NY 10954-2212
(845) 623-5100
Mailing address
125 ROCKLAND PLZ, NANUET, NY 10954-2212
(845) 623-5100
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TUV5644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672273
—
NY
Enumeration date
12/07/2007
Last updated
12/07/2007
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