Organization
OPTICARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH RONALD GLASS OD (OPTOMETRIST)
(516) 775-7595
Entity
Organization
Contact information
Practice address
1915 NEW HYDE PARK RD, NEW HYDE PARK, NY 11040
(516) 775-7595
(516) 775-7069
Mailing address
38 FLOWER LANE, JERICHO, NY 11753
(516) 775-7595
(516) 775-7069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004288
NY
Other
Enumeration date
11/03/2006
Last updated
05/25/2011
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