Provider Demographics
NPI:1861159451
Name:DS EYE CARE LLC
Entity type:Organization
Organization Name:DS EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:516-569-5644
Mailing Address - Street 1:360 CENTRAL AVE STE 121
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1604
Mailing Address - Country:US
Mailing Address - Phone:516-569-5644
Mailing Address - Fax:516-569-4601
Practice Address - Street 1:360 CENTRAL AVE STE 121
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1604
Practice Address - Country:US
Practice Address - Phone:516-569-5644
Practice Address - Fax:516-569-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty