Svc of Coram LLC

NPI #1619411972 in Medford, New York

Provider Information

NPI Number: 1619411972
Entity Type: Organization
Organization Name: Svc of Coram LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 6, 2016
Last Updated: Jul 28, 2022

Practice Location

Address: 1721 N OCEAN AVE STE A
City: Medford
State: New York
ZIP Code: 11763-2684
Phone: (631) 732-0822

Authorized Official

Name: JEFFREY S WILLIAMS JR., OD
Title: OWNER
Phone: (631) 727-7858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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