Provider Demographics
NPI:1467693861
Name:ADVANCED EYECARE OPTOMETRY, PLLC
Entity Type:Organization
Organization Name:ADVANCED EYECARE OPTOMETRY, PLLC
Other - Org Name:ADVANCED EYECARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER (SOLE)
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DELL'ARCIPRETE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-352-2020
Mailing Address - Street 1:811 CHESTNUT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6330
Mailing Address - Country:US
Mailing Address - Phone:845-352-2020
Mailing Address - Fax:845-352-2097
Practice Address - Street 1:811 CHESTNUT RIDGE RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-6330
Practice Address - Country:US
Practice Address - Phone:845-352-2020
Practice Address - Fax:845-352-2097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-13
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty