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NPI Code Detail

MEDICARE: ULTIMATE VISION CARE INC.

MEDICARE: ULTIMATE VISION CARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristNY
2152W00000XOptometristTU003856-1NY

General Provider Information

NPI Number : 1043362411
Entity Type Code : Organization
Provider Name (Legal Business Name) : ULTIMATE VISION CARE INC.
Provider Business Mailing Address
First Line : 2250 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4139
Country : US
Telephone Number : 718-714-1000
Fax Number : 718-714-1036
Provider Business Practice Location Address
First Line : 2250 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-4139
Country : US
Telephone Number : 718-714-1000
Fax Number : 718-714-1036
Authorized Official
Title or Position : OD
Name : ERIC COLMAN
Credential : OD
Telephone Number : 718-714-1000
Provider Enumeration Date : 01/17/2007
Last Update Date : 04/29/2014

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Directions to “ULTIMATE VISION CARE INC. ” Practice Location

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