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General NPI Number Information
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NPI Number | 1265385975
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Entity Type | Organization
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Legal Business Name | MOUNT VERNON VISION CENTER CORPORATION
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 418 E SANDFORD BLVD
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4725
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Country | US
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Telephone | 914-297-2020
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Fax | 914-297-2433
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Provider Business Mailing Address
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Address Line | 418 E SANDFORD BLVD
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City | MOUNT VERNON
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State | NY
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Zip | 10550-4725
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Country | US
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Telephone | 914-297-2020
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Fax | 914-297-2433
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Authorized Official
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Title or Position | OWNER
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Name | ANNETTE FAJARDO
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Credential |
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Telephone | 917-417-3707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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