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NPI Code Detail

MEDICARE: LEXINGTON VISION CORP

MEDICARE: LEXINGTON VISION CORP
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1811453111
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEXINGTON VISION CORP
Provider Business Mailing Address
First Line : 767 LEXINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-8553
Country : US
Telephone Number : 212-751-6652
Fax Number : 212-688-3016
Provider Business Practice Location Address
First Line : 767 LEXINGTON AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065
Country : US
Telephone Number : 212-751-6652
Fax Number : 212-688-3016
Authorized Official
Title or Position : PRESIDENT
Name : ELAINA ZAVILENSKY
Credential :
Telephone Number : 973-838-4730
Provider Enumeration Date : 02/12/2019
Last Update Date : 02/12/2019

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Directions to “LEXINGTON VISION CORP ” Practice Location

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