NPI 1043386089

General Vision Services LLC

Organisation Preferred Provider Organization South Richmond Hill, NY

Practice location

Address: 11510 Liberty Ave, South Richmond Hill, NY 11419-1902
Phone: (718) 323-6410
Fax: (718) 323-6375
Mailing address: 520 8th Ave 9th Floor, New York, NY 10018-6507

Authorised official

Name: Vivek Sra
Title: Provider Relations Director
Phone: (212) 729-5365

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1043386089
Entity type: Organization
NPI issued: 28 Nov 2006
Record last updated: 22 Aug 2020

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.