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Organization

EYELLUSION VISION CENTER INCORPORATED

Active
Parent organization
EYELLUSION VISION CENTER
Other names
Nostlgc Eyewear
Organization subpart
Yes

Provider details

NPI number
Legal business name
EYELLUSION VISION CENTER
Authorized official
HERMINIO FERNANDEZ LICENSED OPTICIAN (PRESIDENT)
(516) 829-1010
Entity
Organization

Contact information

Practice address
1441 OLD COUNTRY RD, PLAINVIEW, NY 11803-5010
(516) 962-9551
(516) 962-5997
Mailing address
1441 OLD COUNTRY RD, PLAINVIEW, NY 11803-5010
(516) 962-9551
(516) 962-5997

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006666
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02291789
NY
Enumeration date
10/20/2016
Last updated
09/24/2022
About Stedi
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Product
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  • Eligibility checks
  • EDI platform