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Organization
OPTICAL ACADEMY ADVANCED MD GROUP LLC
Active
Organization
OPTICAL ACADEMY ADVANCED MD GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABEER AYOUB (CFO)
(800) 530-2730
Entity
Organization
Contact information
Practice address
115 W 45TH ST, -SUITE 504, NEW YORK, NY 10036-4005
(800) 530-2730
(631) 206-9193
Mailing address
115 W 45TH ST, -SUITE 504, NEW YORK, NY 10036-4005
(800) 530-2730
(631) 206-9193
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
06/20/2018
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