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ROOSEVELT FIELD VISION EXPRESS LLC NPI 1760908057


NPI Information

NPI: 1760908057
Provider Name: ROOSEVELT FIELD VISION EXPRESS, LLC

Doing Business As: ULTIMATE SPECTACLE

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
630 OLD COUNTRY RD UNIT 493A
GARDEN CITY, NY
ZIP 11530
Phone: (917) 748-1570
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ROOSEVELT FIELD VISION EXPRESS, LLC is an eyewear supplier in Garden City, NY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. ROOSEVELT FIELD VISION EXPRESS, LLC NPI is 1760908057. The provider is registered as an organization entity type.
The provider Is Doing Business As Ultimate Spectacle.

The provider's business location address is:

630 OLD COUNTRY RD UNIT 493A
GARDEN CITY, NY
ZIP 11530-505
Phone: (917) 748-1570

The provider's authorized official is Leonid Vayner .
The authorized official title is President and has the following contact phone number (917) 748-1570.

The enumeration date for this NPI number is 8/17/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier005243NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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