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Organization
VZ OPTICAL
Active
Organization
VZ OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ERICKSEN (ASSISTANT)
(718) 698-6666
Entity
Organization
Contact information
Practice address
2655 RICHMOND AVE, STATEN ISLAND, NY 10314-5821
(718) 698-6666
(718) 698-0223
Mailing address
2655 RICHMOND AVE, STATEN ISLAND, NY 10314-5821
(718) 698-6666
(718) 698-0223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003411-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02283067
—
NY
Enumeration date
11/20/2006
Last updated
01/15/2013
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