Organization
WHITE PLAINS VISION CARE INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DELLO RUSSO ABOM (OPTICIAN/MANAGER)
(914) 949-8000
Entity
Organization
Contact information
Practice address
148 MAMARONECK AVE, WHITE PLAINS, NY 10601-5301
(914) 949-8000
(914) 286-3042
Mailing address
148 MAMARONECK AVE, WHITE PLAINS, NY 10601-5301
(914) 949-8000
(914) 286-3042
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
C004032-1
NY
156FX1800X
Optician
Primary
C004032-1
NY
246Z00000X
Other Specialist/Technologist
C004032-1
NY
332H00000X
Eyewear Supplier
C004032-1
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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