Provider Demographics
NPI:1982202628
Name:SMART VISION CARE INC.
Entity Type:Organization
Organization Name:SMART VISION CARE INC.
Other - Org Name:SMART VISION CARE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MILENA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED OPTICIAN
Authorized Official - Phone:929-437-2020
Mailing Address - Street 1:10445 ALSTYNE AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3128
Mailing Address - Country:US
Mailing Address - Phone:929-437-2020
Mailing Address - Fax:929-437-2022
Practice Address - Street 1:10445 ALSTYNE AVE
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-3128
Practice Address - Country:US
Practice Address - Phone:929-437-2020
Practice Address - Fax:929-437-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-14
Last Update Date:2023-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty