Creston Opticians INC

NPI #1003973223 in Bronx, New York

Provider Information

NPI Number: 1003973223
Entity Type: Organization
Organization Name: Creston Opticians INC
Primary Specialty: Optometrist
Enumeration Date: Jan 3, 2007
Last Updated: Jan 28, 2008

Practice Location

Address: 2169 WHITE PLAINS RD
City: Bronx
State: New York
ZIP Code: 10462-1405
Phone: (718) 409-2200

Authorized Official

Name: MR. DOUGLAS T BERGER, OPTICIAN
Title: MGR
Phone: (718) 409-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Sports Vision — Sports Vision	152WS0006X
Optometrist - Occupational Vision — Occupational Vision	152WX0102X
Technician/Technologist - Contact Lens — Contact Lens	156FC0800X
Technician/Technologist - Contact Lens Fitter — Contact Lens Fitter	156FC0801X
Technician/Technologist - Optician — Optician	156FX1800X
Optometrist	152W00000X	Primary

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