# LIVING OPTICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619286341
- **Authorized official:** SAMUEL LEE (OWNER)
- **Authorized official phone:** (718) 888-0210

## Contact information

- **Practice address:** 136-79 ROOSEVELT AVE, FLUSHING, NY 11354
- **Practice address phone:** (718) 888-0210
- **Practice address fax:** (718) 888-0210
- **Mailing address:** 136-79 ROOSEVELT AVE, FLUSHING, NY 11354
- **Mailing address phone:** (718) 888-0210
- **Mailing address fax:** (718) 888-0210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | TUV007520 | NY | — |
| 207W00000X | Ophthalmology Physician | 185626 | NY | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 12/14/2010