Provider Demographics
NPI:1518277409
Name:EYE CARE CENTER OF ROME INC
Entity Type:Organization
Organization Name:EYE CARE CENTER OF ROME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:VINCI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:315-337-3277
Mailing Address - Street 1:1320 FLOYD AVE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-4615
Mailing Address - Country:US
Mailing Address - Phone:315-337-3277
Mailing Address - Fax:315-336-8160
Practice Address - Street 1:1320 FLOYD AVE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-4615
Practice Address - Country:US
Practice Address - Phone:315-337-3277
Practice Address - Fax:315-336-8160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty