Organization
VISION BOUTIQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARYTA SOKOLOVA (VICE-PRESIDENT)
(718) 513-0999
Entity
Organization
Contact information
Practice address
8503 20TH AVE, BROOKLYN, NY 11214-3201
(718) 513-0999
Mailing address
8503 20TH AVE, BROOKLYN, NY 11214-3201
(718) 513-0999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV004950
NY
156FX1800X
Optician
Primary
007361
NY
Other
Enumeration date
10/22/2013
Last updated
12/12/2013
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