Organization Name: | MT PLEASANT VISION CENTER, INC |
NPI Number: | 1770760308 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREA S KAISER (OPTOMETRIST) |
Mailing Address: | 660 Columbus Ave 3-3 Thornwood |
State: | NY US |
Postal Code: | 105941909 |
Phone Number: | 9147472000 |
Fax Number: | 9147474032 |
NPI Enumeration Date: | 01/25/2008 |
NPI Last Update Date: | 06/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |