Provider Demographics
NPI:1275153587
Name:CONLEY EYE CARE OPTICAL & VISION SERVICES PC
Entity Type:Organization
Organization Name:CONLEY EYE CARE OPTICAL & VISION SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD, MJ
Authorized Official - Phone:516-587-9332
Mailing Address - Street 1:2177 MEROKEE DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3604
Mailing Address - Country:US
Mailing Address - Phone:516-587-9332
Mailing Address - Fax:
Practice Address - Street 1:2253 MERRICK RD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4746
Practice Address - Country:US
Practice Address - Phone:516-771-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty