Organization · NPI-2

11 Ave Optical INC

Optometrist · Brooklyn, NY

NPI number1043069883
StatusActive
Last updated in NPPESMay 14, 2024

Details

NPI
1043069883
Entity type
Organization (NPI-2)
Legal business name
11 Ave Optical INC
Organization subpart
No
Enumeration date
May 14, 2024
Certification date
May 14, 2024
Last updated
May 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

6706 11th Ave
Brooklyn, NY 11219-5903

Phone 917-288-9878

Mailing address

6706 11th Ave
Brooklyn, NY 11219-5903

Phone 917-288-9878

Authorized official

Wei Guo
Owner
9192889878

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Brooklyn, NY