SVC of West Islip, LLC
Organization Active NPI Optometrist · West Islip, NY
NPI 1255949343 · NPPES record last updated Dec 3, 2020
Key facts
- NPI
- 1255949343
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- SVC OF WEST ISLIP, LLC
- Practice address
- 502 Union Blvd
West Islip, NY 11795-3105 - Phone
- (631) 442-2442
- NPI assigned
- Jul 15, 2020
- Organization subpart
- No
Authorized official
- Name
- Jeffrey Williams Jr., OD
- Title
- Authorized Official/Owner
- Phone
- (631) 422-2442
Practitioners 2
-
Caryl Sue Castro, OD
-
Steven Marc Fishman, OPHTHALMIC DISPENSER
National Provider Directory
Locations
502 Union Blvd
West Islip, NY 11795
Phone (631) 422-2442
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
502 Union Blvd
West Islip, NY 11795-3105
Mailing address
1224 Ostrander Avenue
Riverhead, NY 11901
Phone (631) 727-2858
Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.