Custom Eyes Inc.

NPI #1992984504 in Selden, New York

Provider Information

NPI Number
1992984504
Entity Type
Organization
Organization Name
Custom Eyes Inc.
Primary Specialty
Point of Service
Enumeration Date
Oct 31, 2007
Last Updated
Oct 31, 2007

Practice Location

Address
349 INDEPENDANCE PLAZA
City
Selden
ZIP Code
11784
Phone
(631) 736-8969

Authorized Official

Name
MR. SETH POLAN
Title
OPTICIAN/OWNER
Phone
(631) 736-8969

Specialties & Taxonomy Codes

Specialty
Point of Service

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