Organization Name: | VICTOR FAMILY EYECARE INC |
NPI Number: | 1154752574 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROY KIM (PRESIDENT/OPTOMETRIST) |
Mailing Address: | 6534 Anthony Dr Victor |
State: | NY US |
Postal Code: | 145641403 |
Phone Number: | 5859447201 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2013 |
NPI Last Update Date: | 01/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 006353 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |