Svc of Southold LLC

NPI #1710421078 in Southold, New York

Provider Information

NPI Number: 1710421078
Entity Type: Organization
Organization Name: Svc of Southold LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 6, 2016
Last Updated: Dec 3, 2020

Practice Location

Address: 44210 RTE 48, STE. 1
City: Southold
State: New York
ZIP Code: 11971
Phone: (631) 765-3092

Authorized Official

Name: JEFFREY S SLANEY 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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