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NPI Code Detail

MEDICARE: GENERAL VISION SERVICES LLC

MEDICARE: GENERAL VISION SERVICES 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
1305R00000XPreferred Provider OrganizationNY

General Provider Information

NPI Number : 1831265800
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENERAL VISION SERVICES LLC
Provider Business Mailing Address
First Line : 520 8TH AVE
Second Line : 9TH FLOOR
City : NEW YORK
State : NY
Zip : 10018-6507
Country : US
Telephone Number : 212-729-5300
Fax Number : 212-967-4781
Provider Business Practice Location Address
First Line : 330 W 42ND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10036-6902
Country : US
Telephone Number : 212-594-2831
Fax Number : 212-594-2964
Authorized Official
Title or Position : PROVIDER RELATIONS DIRECTOR
Name : MR. VIVEK SRA
Credential :
Telephone Number : 212-729-5365
Provider Enumeration Date : 11/28/2006
Last Update Date : 08/22/2020

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Directions to “GENERAL VISION SERVICES LLC ” Practice Location

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