Healthcare Provider Details

I. General information

NPI: 1790393338
Provider Name (Legal Business Name): ALL OUT VISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2020
Last Update Date: 07/20/2020
Certification Date: 07/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 N FRANKLIN ST
HEMPSTEAD NY
11550-3811
US

IV. Provider business mailing address

40 N FRANKLIN ST
HEMPSTEAD NY
11550-3811
US

V. Phone/Fax

Practice location:
  • Phone: 646-761-4788
  • Fax:
Mailing address:
  • Phone: 646-761-4788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State

VIII. Authorized Official

Name: ESTHER AMINOV
Title or Position: OWNER
Credential:
Phone: 646-761-4788