MEDICARE: SVC OF EAST SETAUKET LLC

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
1	332H00000X	Eyewear Supplier
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1255875514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SVC OF EAST SETAUKET LLC

Provider Business Mailing Address
First Line	:	1224 OSTRANDER AVENUE
Second Line	:
City	:	RIVERHEAD
State	:	NY
Zip	:	11901
Country	:	US
Telephone Number	:	631-727-2858
Fax Number	:	631-727-2866

Provider Business Practice Location Address
First Line	:	215 HALLOCK RD STE 2
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-3077
Country	:	US
Telephone Number	:	631-675-6909
Fax Number	:	631-675-6910

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY S WILLIAMS
Credential	:	OD
Telephone Number	:	631-727-7858

Provider Enumeration Date	:	12/06/2016
Last Update Date	:	04/12/2021

Similar Medicare Providers

1457221061 — PURE BODY PHYSICAL THERAPY P.C.
Practice Location Address:

215 HALLOCK RD STE 2
STONY BROOK, NY
11790-3077

Practice Phone: 917-563-1824
Practice Fax: 917-779-9959

1851570196 — EASTERN MEDICAL CARE OF SUFFOLK COUNTY, P.C.
Practice Location Address:

215 HALLOCK RD STE 3A
STONY BROOK, NY
11790-3077

Practice Phone: 631-689-8889
Practice Fax: 631-689-8882

1578805362 — SUHYUN AHN LAC
Practice Location Address:

215 HALLOCK RD STE 6A
STONY BROOK, NY
11790-3077

Practice Phone: 917-563-1824
Practice Fax:

1730557893 — JENNIFER L. GIORDANO
Practice Location Address:

215 HALLOCK RD STE 3D
STONY BROOK, NY
11790-3077

Practice Phone: 631-675-9777
Practice Fax: 631-675-9778

1952817736 — MICHELLE LAJOIE LMSW
Practice Location Address:

215 HALLOCK RD STE 3A
STONY BROOK, NY
11790-3077

Practice Phone: 631-551-5095
Practice Fax:

1588222509 — STONY BROOK ACUPUNCTURE AND MASSAGE THERAPY PC
Practice Location Address:

215 HALLOCK RD STE 6A
STONY BROOK, NY
11790-3077

Practice Phone: 917-563-1824
Practice Fax: 929-900-1843

Directions to “SVC OF EAST SETAUKET LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.