Organization
TREMONT EYE CARE SPECIFICS, INC
Active
Other names
Eye Care Specifics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN MATTHEW CIAZ WHITE OD (PRESIDENT)
(718) 405-7211
Entity
Organization
Contact information
Practice address
25 E 233RD STREET, BRONX, NY 10470-2207
(718) 405-7211
(718) 405-7599
Mailing address
25 E 233RD STREET, BRONX, NY 10470-2207
(718) 405-7211
(718) 405-7599
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
VUT5575
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02253276
—
NY
01
—
C4A5321
BLUE CROSS BLUE SHIELD
NY
Enumeration date
01/22/2007
Last updated
09/19/2019
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