Organization
EYE VALUES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT K. NORRIS O.D. (OPTOMETRIST)
(631) 957-0033
Entity
Organization
Contact information
Practice address
600 N WELLWOOD AVE, SUITE C, LINDENHURST, NY 11757-2000
(631) 957-0033
(631) 957-2315
Mailing address
600 N WELLWOOD AVE, SUITE C, LINDENHURST, NY 11757-2000
(631) 957-0033
(631) 957-2315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02167691
—
NY
01
—
0432860001
MEDICARE PTAN
NY
01
—
410036802
RAILROAD MEDICARE PTAN
—
01
—
NYB003683
M2 SUBMITTER NUMBER
—
Enumeration date
03/20/2006
Last updated
03/22/2010
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