# PURE EYECARE OPTOMETRY P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pure Eyecare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285278606
- **Authorized official:** DR. ROMAN KAKZANOV OD (DOCTOR OF OPTOMETRY)
- **Authorized official phone:** (917) 476-7757

## Contact information

- **Practice address:** 10537 65TH AVE APT 4D, FOREST HILLS, NY 11375-1818
- **Practice address phone:** (917) 476-7757
- **Mailing address:** 10537 65TH AVE APT 4D, FOREST HILLS, NY 11375-1818
- **Mailing address phone:** (917) 476-7757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2019
- **Last updated:** 10/29/2019