Organization
PSCG OPTICS INC
Active
Other names
Sachem Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER GENTILE O.D. (OPTOMETRIST)
(631) 588-7004
Entity
Organization
Contact information
Practice address
388 HAWKINS AVE, SUITE 2, LAKE RONKONKOMA, NY 11779-4280
(631) 588-7004
(631) 588-2612
Mailing address
388 HAWKINS AVE, SUITE 2, LAKE RONKONKOMA, NY 11779-4280
(631) 588-7004
(631) 588-2612
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03912503
—
NY
Enumeration date
03/14/2007
Last updated
09/09/2015
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