Provider Demographics
NPI:1598402091
Name:CEDAR SEE VISION CENTER LLC
Entity Type:Organization
Organization Name:CEDAR SEE VISION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WITHNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:302-609-0041
Mailing Address - Street 1:8 THE GRN STE B
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3618
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5435 PETERSON RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-8953
Practice Address - Country:US
Practice Address - Phone:302-609-0041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-16
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty