Organization · NPI-2

589 Nyc Optical LLC

Optometrist · Brooklyn, NY

NPI number1669109203
StatusActive
Last updated in NPPESAug 3, 2022

Details

NPI
1669109203
Entity type
Organization (NPI-2)
Legal business name
589 Nyc Optical LLC
Organization subpart
No
Enumeration date
Aug 3, 2022
Certification date
Aug 3, 2022
Last updated
Aug 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

589 Sutter Ave
Brooklyn, NY 11207-4002

Phone 347-627-7896

Mailing address

589 Sutter Ave
Brooklyn, NY 11207-4002

Authorized official

Phillip Muratov
Owner
9178473457

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