Provider Demographics
NPI:1730617457
Name:METROS EYE CARE OPTOMETRY, P.C.
Entity type:Organization
Organization Name:METROS EYE CARE OPTOMETRY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VANDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DHARMAPURI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-290-0910
Mailing Address - Street 1:2274 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-2209
Mailing Address - Country:US
Mailing Address - Phone:212-722-4453
Mailing Address - Fax:212-672-4997
Practice Address - Street 1:2274 3RD AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2209
Practice Address - Country:US
Practice Address - Phone:212-722-4453
Practice Address - Fax:212-672-4997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-25
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008393152W00000X
332H00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear SupplierGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty