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NPI Code Detail

MEDICARE: EMPIRE VISION CENTER INC

MEDICARE: EMPIRE VISION CENTER 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
1152W00000XOptometrist
2332H00000XEyewear Supplier
3156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1164485678
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMPIRE VISION CENTER INC
Provider Business Mailing Address
First Line : 2921 ERIE BLVD E
Second Line :
City : SYRACUSE
State : NY
Zip : 13224-1430
Country : US
Telephone Number : 315-446-3145
Fax Number : 315-445-7675
Provider Business Practice Location Address
First Line : 600 OLD COUNTRY RD
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-2021
Country : US
Telephone Number : 516-745-6565
Fax Number : 516-683-1729
Authorized Official
Title or Position : SVP
Name : MR. ALAN K THROWER
Credential :
Telephone Number : 315-446-3145
Provider Enumeration Date : 04/07/2006
Last Update Date : 11/04/2008

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Directions to “EMPIRE VISION CENTER INC ” Practice Location

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