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Fresh Eyes INC

Optometrist in Fresh Meadows, NY. Organization (NPI-2).

NPI number1043496367
StatusActive
Last updated in NPPESJan 16, 2008

Details

NPI
1043496367
Entity type
Organization (NPI-2)
Legal business name
Fresh Eyes INC
Organization subpart
No
Enumeration date
Jan 16, 2008
Last updated
Jan 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTUV43351NYYes

Practice location

6130a 190th St
Fresh Meadows, NY 11365-2721

Phone 718-454-8484 · Fax 718-454-8910

Mailing address

6130a 190th St
Fresh Meadows, NY 11365-2721

Phone 718-454-8484 · Fax 718-454-8910

Authorized official

Gary Siegelbaum
President
7184548484

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