Organization
SVC OF PORT JEFFERSON STATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WILLIAMS JR. OD (OD, OWNER)
(631) 727-2858
Entity
Organization
Contact information
Practice address
524 PATCHOGUE RD, PORT JEFFERSON STATION, NY 11776
(631) 476-4707
(631) 727-2866
Mailing address
1224 OSTRANDER AVE, RIVERHEAD, NY 11901-2109
(631) 727-2858
(631) 727-2866
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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