Provider Demographics
NPI:1043301476
Name:VISUAL IMAGES
Entity Type:Organization
Organization Name:VISUAL IMAGES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:GEULA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:212-687-4088
Mailing Address - Street 1:697 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-4003
Mailing Address - Country:US
Mailing Address - Phone:212-687-4088
Mailing Address - Fax:212-687-2975
Practice Address - Street 1:697 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4003
Practice Address - Country:US
Practice Address - Phone:212-687-4088
Practice Address - Fax:212-687-2975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003261-1152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty