Organization · NPI-2

1038 Sb Optical Corp

Optometrist · Bronx, NY

NPI number1942534078

StatusActive

Last updated in NPPESApr 16, 2013

Details

NPI: 1942534078
Entity type: Organization (NPI-2)
Legal business name: 1038 Sb Optical Corp
Organization subpart: No
Enumeration date: Sep 22, 2009
Last updated: Apr 16, 2013

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes
156FX1800X	Technician/Technologist, Optician	–	–

Other names

Metro Optics Eyewear III (Doing Business As)

Practice location

1038 Southern Blvd
Bronx, NY 10459-3407

Phone 718-328-7137

Mailing address

1038 Southern Blvd
Bronx, NY 10459-3407

Phone 718-328-7137

Authorized official

Eva Yan
President/Optometrist
7183287137

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