Fourth Avenue Vision Center, Inc.

LBN: Fourth Avenue Vision Center
Fourth Avenue Vision Center, Inc. is an health care organization with primary practice located at 55 S. Fourth Ave. , Mt. Vernon NY 10550-3104. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Fourth Avenue Vision Center can be contacted via phone (914) 664-4600, or through Lucadamo, Claire via phone (914) 664-4600.

Contact Information

Primary practice address
55 S. Fourth Ave. Mt. Vernon NY 10550-3104
Phone: (914) 664-4600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lucadamo, Claire
Phone: (914) 664-4600

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 002488 New York

Profile Details

NPI number 1578773081
LBN Legal business name Fourth Avenue Vision Center
DBA Doing business as Fourth Avenue Vision Center, Inc.
Authorized official Lucadamo, Claire
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Oct 4th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578773081 NPPES
New York MEDICAID 02902789

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