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Organization
VICTORY VISION CENTER LLC
Active
Organization
VICTORY VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIKTOR KOLESNYK (VICE PRESIDENT)
(718) 915-0791
Entity
Organization
Contact information
Practice address
565 ATLANTIC AVE, BROOKLYN, NY 11217-1913
(718) 915-0791
(718) 622-5404
Mailing address
565 ATLANTIC AVE, BROOKLYN, NY 11217-1913
(718) 915-0791
(718) 622-5404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008816
NY
156FC0801X
Contact Lens Fitter
008816
NY
332H00000X
Eyewear Supplier
008716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02857014
—
NY
Enumeration date
01/21/2015
Last updated
01/21/2015
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