5th Avenue Vision Center LLC
Optometrist in Brooklyn, NY. Organization (NPI-2).
NPI number1568987972
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1568987972
- Entity type
- Organization (NPI-2)
- Legal business name
- 5th Avenue Vision Center LLC
- Organization subpart
- No
- Enumeration date
- Aug 7, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV0071381 | NY | Yes |
Practice location
5818 5th AveBrooklyn, NY 11220
Phone 718-439-8440 · Fax 718-439-7063
Mailing address
5818 5th AveBrooklyn, NY 11220-3820
Phone 718-439-8440 · Fax 718-439-7063
Authorized official
Boris Kapelnik
Optometrist
9296660438
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