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Organization
ULTIMATE VISION LLC
Active
Organization
ULTIMATE VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDR KOZOCHONOK (OWNER)
(718) 714-1000
Entity
Organization
Contact information
Practice address
2250 86TH ST, BROOKLYN, NY 11214-4139
(718) 714-1000
(718) 714-1036
Mailing address
2250 86TH ST, BROOKLYN, NY 11214-4139
(718) 714-1000
(718) 714-1036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TU003856-1
NY
Other
Enumeration date
11/03/2016
Last updated
11/07/2016
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