Summit Vision Care, Inc.

LBN: Summit Vision Care, Inc.
Summit Vision Care, Inc. is an health care organization with primary practice located at 150 Islip Ave Suite 12, Islip NY 11751-3222. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Summit Vision Care, Inc. can be contacted via phone (631) 581-5100, or through Forur, Lawrence via phone (631) 581-5100.

Contact Information

Primary practice address
150 Islip Ave Suite 12 Islip NY 11751-3222
Phone: (631) 581-5100
Fax: (631) 581-7512
Website:
Map and Directions
Authorized official contact:
Name: Forur, Lawrence Doctor of Optometry (OD)
Phone: (631) 581-5100

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004284 New York
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1659559862
LBN Legal business name Summit Vision Care, Inc.
DBA Doing business as
Authorized official Forur, Lawrence Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated Feb 14th, 2012 - about 12 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 1659559862 NPPES
New York MEDICAID 00887274

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