# MA OPHTHALMOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MA OPHTHALMOLOGY, PLLC
- **Other names:** Envision Eye Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1104491844
- **Legal business name:** MA OPHTHALMOLOGY, PLLC
- **Authorized official:** DR. LAIYIN MA MD (OWNER)
- **Authorized official phone:** (917) 667-2655

## Contact information

- **Practice address:** 3616 MAIN ST FL 9, FLUSHING, NY 11354-4105
- **Practice address phone:** (917) 667-2655
- **Mailing address:** 69 EAKINS RD, MANHASSET, NY 11030-2632
- **Mailing address phone:** (917) 667-2655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2021
- **Last updated:** 08/02/2022