Individual
MR. VLADIMIR BASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13207 14TH AVE, COLLEGE POINT, NY 11356-2001
(718) 357-4511
Mailing address
13207 14TH AVE, COLLEGE POINT, NY 11356-2001
(718) 357-4511
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02334912
—
NY
01
—
15416
SPECTERA
NY
01
—
330771
NVA
NY
01
—
49779
DAVIS VISION
NY
01
—
973N
NATIONAL OPTICAL SERVICES
NY
01
—
NY4302
EYEMED
NY
Enumeration date
05/11/2006
Last updated
07/09/2007
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