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Organization
WYNN OPTICS II CORP
Active
Organization
WYNN OPTICS II CORP
Active
Other names
wynn optics
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE SANDOVAL (OWNER)
(212) 491-1500
Entity
Organization
Contact information
Practice address
629 MALCOLM X BLVD, NEW YORK, NY 10037-1231
(212) 491-1500
(212) 491-1509
Mailing address
629 MALCOLM X BLVD, NEW YORK, NY 10037-1231
(212) 491-1500
(212) 491-1509
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007388
NY
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
01/09/2015
Last updated
05/11/2015
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