Provider Demographics
NPI:1417143686
Name:SV SURGICAL EYE CARE PC
Entity Type:Organization
Organization Name:SV SURGICAL EYE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:VERNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-674-3000
Mailing Address - Street 1:15 GLEN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2782
Mailing Address - Country:US
Mailing Address - Phone:516-674-3000
Mailing Address - Fax:516-674-3017
Practice Address - Street 1:15 GLEN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2782
Practice Address - Country:US
Practice Address - Phone:516-674-3000
Practice Address - Fax:516-674-3017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWGW501Medicare PIN