Coop City Eye Care INC
Optometrist in Bronx, NY. Organization (NPI-2).
NPI number1356763056
StatusActive
Last updated in NPPESSep 23, 2015
Details
- NPI
- 1356763056
- Entity type
- Organization (NPI-2)
- Legal business name
- Coop City Eye Care INC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2014
- Last updated
- Sep 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV007786 | NY | Yes |
| 152WC0802X | Optometrist, Corneal and Contact Management | TUV007786 | NY | |
| 156FX1800X | Technician/Technologist, Optician | 008630 | NY |
Other names
- National Eyecare (Former Legal Business Name)
Practice location
691 Co Op City BlvdBronx, NY 10475-1673
Phone 718-320-0551 · Fax 347-843-0430
Mailing address
691 Co Op City BlvdBronx, NY 10475-1673
Phone 718-320-0551 · Fax 347-843-0430
Authorized official
Edward Bangiyev
Optician/Owner
7183200551
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