Provider Demographics
NPI:1043806359
Name:CROSS COUNTY VISION CORP
Entity Type:Organization
Organization Name:CROSS COUNTY VISION CORP
Other - Org Name:COHEN'S FASHION OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVILENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-906-0899
Mailing Address - Street 1:7050 MALL WALK
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1325
Mailing Address - Country:US
Mailing Address - Phone:914-881-3749
Mailing Address - Fax:
Practice Address - Street 1:7050 MALL WALK
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-1325
Practice Address - Country:US
Practice Address - Phone:914-881-3749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-21
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty