Provider Demographics
NPI:1124181466
Name:NORTH SHORE CONTACT LENS & VISION CONSULTANTS PC
Entity Type:Organization
Organization Name:NORTH SHORE CONTACT LENS & VISION CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AURTHUR
Authorized Official - Middle Name:B
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-299-4540
Mailing Address - Street 1:1 EXPRESSWAY PLAZA
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577
Mailing Address - Country:US
Mailing Address - Phone:516-299-4540
Mailing Address - Fax:516-299-4542
Practice Address - Street 1:1 EXPRESSWAY PLAZA
Practice Address - Street 2:SUITE 100
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577
Practice Address - Country:US
Practice Address - Phone:516-299-4540
Practice Address - Fax:516-299-4542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV00354Z152W00000X
NYTUV003546152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0491540001Medicare NSC
NYC0W031Medicare ID - Type Unspecified