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Organization
WOODHAVEN OPTICAL CENTER
Active
Organization
WOODHAVEN OPTICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY M LEITER O.D. (OPTOMETRIST)
(718) 847-1946
Entity
Organization
Contact information
Practice address
8921 JAMAICA AVE, WOODHAVEN, NY 11421-2041
(718) 847-1946
(718) 849-7326
Mailing address
8921 JAMAICA AVE, WOODHAVEN, NY 11421-2041
(718) 847-1946
(718) 849-7326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
004302
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02375340
—
NY
01
—
09282
SPECTERA
NY
01
—
1001850000
UFT
NY
01
—
1300620001
MEDICARE (CMS)
NY
01
—
333552
NVA
NY
01
—
50580
DAVIS VISION
NY
01
—
713
VISION SCREENING
NY
01
—
OP1079
EYEMED
NY
Enumeration date
05/20/2006
Last updated
05/11/2011
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