NPI 1023510278

Shore Vision LTD

Organisation Preferred Provider Organization Massapequa, NY

Practice location

Address: 4644 Merrick Rd, Massapequa, NY 11758-6030
Phone: (516) 860-6659
Mailing address: 99 Shoreham Rd, Massapequa, NY 11758-7358

Authorised official

Name: Elizabeth Burton
Title: Optician/Owner
Phone: (516) 860-6659

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 007789 (NY)

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Registry record

NPI: 1023510278
Entity type: Organization
NPI issued: 4 Mar 2018
Record last updated: 16 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.