Family Optical Shoppe Corp
Technician/Technologist, Optician in Bronx, NY. Organization (NPI-2).
NPI number1912945452
StatusActive
Last updated in NPPESFeb 26, 2009
Details
- NPI
- 1912945452
- Entity type
- Organization (NPI-2)
- Legal business name
- Family Optical Shoppe Corp
- Organization subpart
- No
- Enumeration date
- Jun 4, 2006
- Last updated
- Feb 26, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 008120-1 | NY | Yes |
Practice location
1594 Westchester AveBronx, NY 10472-2919
Phone 718-861-6009 · Fax 718-861-6679
Mailing address
1594 Westchester AveBronx, NY 10472-2919
Phone 718-861-6009 · Fax 718-861-6679
Authorized official
Izabella Gugilev-Calik
President
7188616009
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