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Organization
PURE EYECARE OPTOMETRY P.C.
Active
Organization
PURE EYECARE OPTOMETRY P.C.
Active
Other names
Pure Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN KAKZANOV OD (DOCTOR OF OPTOMETRY)
(917) 476-7757
Entity
Organization
Contact information
Practice address
10537 65TH AVE APT 4D, FOREST HILLS, NY 11375-1818
(917) 476-7757
Mailing address
10537 65TH AVE APT 4D, FOREST HILLS, NY 11375-1818
(917) 476-7757
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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