Organization
P. WOODYEAR CORP.
Active
Other names
Far Rockaway Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL YEARWOOD (OWNER)
(718) 337-2020
Entity
Organization
Contact information
Practice address
1304 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-3206
(718) 337-2020
(718) 337-2257
Mailing address
1304 BEACH CHANNEL DR, FAR ROCKAWAY, NY 11691-3206
(718) 337-2020
(718) 337-2257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2105
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02061383
—
NY
Enumeration date
06/13/2007
Last updated
04/13/2011
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