MEDICARE: DR. ARTHUR PURVIN & DR. NINA KALMANSON

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1992778500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ARTHUR PURVIN & DR. NINA KALMANSON

Provider Business Mailing Address
First Line	:	108 S FRANKLIN AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-6105
Country	:	US
Telephone Number	:	516-825-7455
Fax Number	:	516-825-1494

Provider Business Practice Location Address
First Line	:	108 S FRANKLIN AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-6105
Country	:	US
Telephone Number	:	516-825-7455
Fax Number	:	516-825-1494

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. ARTHUR MICHAEL PURVIN
Credential	:	O.D.
Telephone Number	:	516-825-7455

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	08/22/2020

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