Provider Demographics
NPI:1245425297
Name:WHITE PLAINS VISION CARE
Entity Type:Organization
Organization Name:WHITE PLAINS VISION CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSILLO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-949-8900
Mailing Address - Street 1:148 MAMARONECK AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5301
Mailing Address - Country:US
Mailing Address - Phone:914-949-8900
Mailing Address - Fax:
Practice Address - Street 1:148 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5301
Practice Address - Country:US
Practice Address - Phone:914-949-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty