Provider Demographics
NPI:1942579818
Name:VISION PEOPLE OF BELLMORE, INC
Entity Type:Organization
Organization Name:VISION PEOPLE OF BELLMORE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAVILENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-477-6700
Mailing Address - Street 1:2766 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3639
Mailing Address - Country:US
Mailing Address - Phone:516-826-2020
Mailing Address - Fax:516-826-2137
Practice Address - Street 1:2766 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3639
Practice Address - Country:US
Practice Address - Phone:516-826-2020
Practice Address - Fax:516-826-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-22
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005375332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100063239Medicare PIN