Provider Demographics
NPI:1609182252
Name:GENERAL VISION SERVICES LLC
Entity Type:Organization
Organization Name:GENERAL VISION SERVICES LLC
Other - Org Name:GVS @ HARLEM HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-729-5300
Mailing Address - Street 1:530 WEST 137 STREET
Mailing Address - Street 2:ROOM 405A 4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037
Mailing Address - Country:US
Mailing Address - Phone:212-926-2020
Mailing Address - Fax:212-926-2020
Practice Address - Street 1:530 WEST 137 STREET
Practice Address - Street 2:ROOM 405A 4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037
Practice Address - Country:US
Practice Address - Phone:212-926-2020
Practice Address - Fax:212-926-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
08122010OtherAPPLICATION DATE