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Organization
VISIONARY OPTOMETRY, PLLC
Active
Organization
VISIONARY OPTOMETRY, PLLC
Active
Other names
Visionary Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TAO OD (PARTNER)
(917) 362-6226
Entity
Organization
Contact information
Practice address
21818 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2125
(347) 860-9360
Mailing address
21818 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2125
(718) 470-2277
(718) 470-2577
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04938029
—
NY
Enumeration date
04/26/2019
Last updated
01/25/2023
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