Svc of Mastic LLC

NPI #1831708353 in Mastic, New York

Provider Information

NPI Number: 1831708353
Entity Type: Organization
Organization Name: Svc of Mastic LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 30, 2020
Last Updated: Dec 3, 2020

Practice Location

Address: 1360 MONTAUK HWY
City: Mastic
State: New York
ZIP Code: 11950-2929
Phone: (631) 727-2858

Authorized Official

Name: JEFFREY S WILLIAMS, OD
Title: AUTHORIZED OFFICIAL/OWNER
Phone: (631) 442-2442

Specialties & Taxonomy Codes

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

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