Provider Demographics
NPI:1013186402
Name:LONG ISLAND OPTOMETRIC VISION DEVELOPMENT, PLLC
Entity type:Organization
Organization Name:LONG ISLAND OPTOMETRIC VISION DEVELOPMENT, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:ROBIN
Authorized Official - Last Name:BESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:516-334-9385
Mailing Address - Street 1:265 POST AVE
Mailing Address - Street 2:SUITE 380
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2233
Mailing Address - Country:US
Mailing Address - Phone:516-334-9385
Mailing Address - Fax:
Practice Address - Street 1:265 POST AVENUE
Practice Address - Street 2:SUITE 380
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-2233
Practice Address - Country:US
Practice Address - Phone:516-334-9385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005207152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Single Specialty