Provider Demographics
NPI:1508439464
Name:CARUSO EYE AND RETINA CONSULTANTS L.L.C.
Entity Type:Organization
Organization Name:CARUSO EYE AND RETINA CONSULTANTS L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/BOARD CERTIFIED OPHTHALMOLOGI
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:214-471-3597
Mailing Address - Street 1:229 HALES MILLS RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:12095-3743
Mailing Address - Country:US
Mailing Address - Phone:214-471-3597
Mailing Address - Fax:
Practice Address - Street 1:229 HALES MILLS RD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:NY
Practice Address - Zip Code:12095-3743
Practice Address - Country:US
Practice Address - Phone:214-471-3597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty