Healthcare Provider Details

I. General information

NPI: 1962198325
Provider Name (Legal Business Name): SEE CLEARLY OPTICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 04/17/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 NAGLE AVENUE
NEW YORK NY
10040-1401
US

IV. Provider business mailing address

110 NAGLE AVENUE
NEW YORK NY
10040
US

V. Phone/Fax

Practice location:
  • Phone: 929-638-0258
  • Fax: 929-419-3687
Mailing address:
  • Phone: 929-638-0258
  • Fax: 929-419-3687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. LAURIE D VU
Title or Position: CEO
Credential: OD
Phone: 929-638-0258