MEDICARE: VISION SCREENING

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	302F00000X	Exclusive Provider Organization

General Provider Information

NPI Number	:	1821296096
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION SCREENING

Provider Business Mailing Address
First Line	:	1919 MIDDLE COUNTRY RD
Second Line	:
City	:	CENTEREACH
State	:	NY
Zip	:	11720-5601
Country	:	US
Telephone Number	:	631-467-4515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1919 MIDDLE COUNTRY RD
Second Line	:
City	:	CENTEREACH
State	:	NY
Zip	:	11720-5601
Country	:	US
Telephone Number	:	631-467-4515
Fax Number	:

Authorized Official
Title or Position	:	PRES
Name	:	ARTHUR POLAN
Credential	:
Telephone Number	:	631-467-4515

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	07/10/2007

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Directions to “VISION SCREENING ” 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.

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