Organization · NPI-2

110 Vision Ltd.

Eyewear Supplier (Equipment, not the service) · Huntington Station, NY

NPI number1124783840
StatusActive
Last updated in NPPESNov 8, 2021

Details

NPI
1124783840
Entity type
Organization (NPI-2)
Legal business name
110 Vision Ltd.
Organization subpart
No
Enumeration date
Nov 8, 2021
Certification date
Oct 19, 2021
Last updated
Nov 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

259 Walt Whitman Rd
Huntington Station, NY 11746-4119

Phone 631-427-7300

Mailing address

259 Walt Whitman Rd
Huntington Station, NY 11746-4119

Phone 631-427-7300

Authorized official

Arsen Khaimov
Manager
9174004889

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