Eyespecs International LLC
Technician/Technologist, Optician in Deer Park, NY. Organization (NPI-2).
NPI number1295416923
StatusActive
Last updated in NPPESJul 26, 2023
Details
- NPI
- 1295416923
- Entity type
- Organization (NPI-2)
- Legal business name
- Eyespecs International LLC
- Organization subpart
- No
- Enumeration date
- Jul 26, 2023
- Certification date
- Jul 26, 2023
- Last updated
- Jul 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
20 Dunton AveDeer Park, NY 11729-4702
Phone 877-393-7732 · Fax 833-393-7732
Mailing address
20 Dunton AveDeer Park, NY 11729-4702
Phone 877-393-7732 · Fax 833-393-7732
Authorized official
Rafael Hanukashvili
Owner
9174409696
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