Broadway Mall Vision Express, LLC
Eyewear Supplier (Equipment, not the service) in Hicksville, NY. Organization (NPI-2).
NPI number1982148763
StatusActive
Last updated in NPPESDec 13, 2016
Details
- NPI
- 1982148763
- Entity type
- Organization (NPI-2)
- Legal business name
- Broadway Mall Vision Express, LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2016
- Last updated
- Dec 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 005761 | NY | Yes |
Practice location
358 Broadway MallBroadway Mall Suite 371a
Hicksville, NY 11801-2709
Phone 516-938-0055 · Fax 516-938-8667
Mailing address
358 Broadway MallBroadway Mall Suite 371a
Hicksville, NY 11801-2709
Phone 516-938-0055 · Fax 516-938-8667
Authorized official
Leonid Vayner
President
5169380055
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Other Eyewear Supplier providers in Hicksville, NY
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- Woodbury Optical Studio, INC.NPI 1699824169
All 8 Eyewear Supplier providers in Hicksville · All 1,866 providers in Hicksville
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