Southern Vision Care Pc.

LBN: Southern Vision Care Pc.
Southern Vision Care Pc. is an health care organization with primary practice located at 811 Southern Blvd Lbby , Bronx NY 10459-5202. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southern Vision Care Pc. can be contacted via phone (718) 924-2552, or through Lacorte, Edward via phone (718) 924-2552.

Contact Information

Primary practice address
811 Southern Blvd Lbby Bronx NY 10459-5202
Phone: (718) 924-2552
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lacorte, Edward Doctor of Optometry (OD)
Phone: (718) 924-2552

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X UV004778 New York

Profile Details

NPI number 1548308430
LBN Legal business name Southern Vision Care Pc.
DBA Doing business as
Authorized official Lacorte, Edward Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Feb 11th, 2021 - about 4 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 1548308430 NPPES
New York MEDICAID 01048159

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