Provider Demographics
NPI:1518345636
Name:RED COMMERCIAL INC
Entity Type:Organization
Organization Name:RED COMMERCIAL INC
Other - Org Name:VISION STYLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-544-2255
Mailing Address - Street 1:58 WEST PARK AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561
Mailing Address - Country:US
Mailing Address - Phone:516-544-2255
Mailing Address - Fax:516-544-2257
Practice Address - Street 1:58 W PARK AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-2030
Practice Address - Country:US
Practice Address - Phone:516-544-2255
Practice Address - Fax:516-544-2257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty