Organization
MAIN OPTICAL LLC
Active
Other names
Main Optical
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARD BORUKHOV (OWNER)
(347) 642-2593
Entity
Organization
Contact information
Practice address
6830 MAIN ST, FLUSHING, NY 11367-1325
(718) 575-3937
(718) 261-2191
Mailing address
6830 MAIN ST, FLUSHING, NY 11367-1325
(718) 575-3937
(718) 261-2191
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009250
NY
Other
Enumeration date
05/17/2012
Last updated
08/23/2019
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