Dr. Lucia Patino, Optometrist, P.C.
Optometrist in Jackson Heights, NY. Organization (NPI-2).
NPI number1104139872
StatusActive
Last updated in NPPESJan 27, 2021
Details
- NPI
- 1104139872
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Lucia Patino, Optometrist, P.C.
- Organization subpart
- No
- Enumeration date
- Jul 22, 2010
- Certification date
- Jan 27, 2021
- Last updated
- Jan 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 006595 | NY | Yes |
Practice location
9534 Roosevelt AveJackson Heights, NY 11372-8029
Phone 718-505-9401
Mailing address
9534 Roosevelt AveJackson Heights, NY 11372-8029
Phone 718-505-9401
Authorized official
Lucia Patino
Owner
7185059401
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