Individual
MR. PRATIK VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3 DUTCH VLG, BR, MENANDS, NY 12204-2905
(562) 650-0415
Mailing address
3 DUTCH VLG, BR, MENANDS, NY 12204-2905
(562) 650-0415
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T008390
NY
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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