Provider Demographics
NPI:1548424468
Name:VISION ASSOCIATES OF THE FIVE TOWNS, INC.
Entity Type:Organization
Organization Name:VISION ASSOCIATES OF THE FIVE TOWNS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:516-374-1010
Mailing Address - Street 1:538 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2127
Mailing Address - Country:US
Mailing Address - Phone:516-374-4383
Mailing Address - Fax:
Practice Address - Street 1:538 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2127
Practice Address - Country:US
Practice Address - Phone:516-374-4383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV003912-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY146567OtherCIGNA
NY932421OtherCOLE/EYEMED
NYP2487223OtherOXFORD
NYC30341OtherHEALTHNET
NY4307973OtherAETNA
NY0135633OtherGHI
NY146567OtherCIGNA