Organization
CUSTOM EYES INC.
Active
Organization
CUSTOM EYES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SETH POLAN (OPTICIAN/OWNER)
(631) 736-8969
Entity
Organization
Contact information
Practice address
349 INDEPENDANCE PLAZA, SELDEN, NY 11784
(631) 736-8969
Mailing address
349 INDEPENDANCE PLAZA, SELDEN, NY 11784
(631) 736-8969
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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