Organization · NPI-2

Allerton Eye Care LLC

Optometrist · Bronx, NY

NPI number1780368647
StatusActive
Last updated in NPPESJun 12, 2023

Details

NPI
1780368647
Entity type
Organization (NPI-2)
Legal business name
Allerton Eye Care LLC
Organization subpart
No
Enumeration date
Jun 12, 2023
Certification date
Jun 12, 2023
Last updated
Jun 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

702 Allerton Ave
Bronx, NY 10467-8218

Phone 718-654-2020

Mailing address

702 Allerton Ave
Bronx, NY 10467-8218

Phone 718-654-2020

Authorized official

Allan Gugilev
Owner
9176676611

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