Provider Demographics
NPI:1447799127
Name:GREAT NECK EYE CARE CORP
Entity Type:Organization
Organization Name:GREAT NECK EYE CARE CORP
Other - Org Name:GREAT NECK OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:YELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKHASOVA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:917-952-1114
Mailing Address - Street 1:146 MIDDLE NECK RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-1246
Mailing Address - Country:US
Mailing Address - Phone:516-466-3874
Mailing Address - Fax:516-466-1346
Practice Address - Street 1:146 MIDDLE NECK RD
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-1246
Practice Address - Country:US
Practice Address - Phone:516-466-4874
Practice Address - Fax:516-466-1346
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty