Provider Demographics
NPI:1730434523
Name:VECCHI, PRISCA (OD)
Entity type:Individual
Prefix:DR
First Name:PRISCA
Middle Name:
Last Name:VECCHI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:PRISCA
Other - Middle Name:
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2142 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-3214
Mailing Address - Country:US
Mailing Address - Phone:718-372-5144
Mailing Address - Fax:
Practice Address - Street 1:2142 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-3214
Practice Address - Country:US
Practice Address - Phone:718-372-5144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-17
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007895152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist