Vision Boutique INC
Technician/Technologist, Optician in Brooklyn, NY. Organization (NPI-2).
NPI number1003244591
StatusActive
Last updated in NPPESDec 12, 2013
Details
- NPI
- 1003244591
- Entity type
- Organization (NPI-2)
- Legal business name
- Vision Boutique INC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2013
- Last updated
- Dec 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 007361 | NY | Yes |
| 152W00000X | Optometrist | tuv004950 | NY |
Practice location
8503 20th AveBrooklyn, NY 11214-3201
Phone 718-513-0999
Mailing address
8503 20th AveBrooklyn, NY 11214-3201
Phone 718-513-0999
Authorized official
Margaryta Sokolova
Vice-President
7185130999
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