Provider Demographics
NPI:1194119297
Name:THE CENTER FOR VISUAL MANAGEMENT
Entity type:Organization
Organization Name:THE CENTER FOR VISUAL MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOTSAMANIDIS-BURG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-631-1070
Mailing Address - Street 1:150 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 410
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5535
Mailing Address - Country:US
Mailing Address - Phone:914-631-1070
Mailing Address - Fax:914-631-3802
Practice Address - Street 1:150 WHITE PLAINS RD
Practice Address - Street 2:SUITE 410
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5535
Practice Address - Country:US
Practice Address - Phone:914-631-1070
Practice Address - Fax:914-631-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WV0400XEye and Vision Services ProvidersOptometristVision TherapyGroup - Multi-Specialty