Provider Demographics
NPI:1598938201
Name:VALLEY EYES
Entity Type:Organization
Organization Name:VALLEY EYES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERSHUNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-568-3937
Mailing Address - Street 1:190 W MERRICK RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5512
Mailing Address - Country:US
Mailing Address - Phone:516-538-3937
Mailing Address - Fax:516-596-2020
Practice Address - Street 1:190 W MERRICK RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5512
Practice Address - Country:US
Practice Address - Phone:516-538-3937
Practice Address - Fax:516-596-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006124332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier