Organization
R & I OPTICAL
Active
Other names
STERLING OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKHAIL RAYTSIN (PRESIDENT)
(718) 497-5470
Entity
Organization
Contact information
Practice address
5625 MYRTLE AVE, RIDGEWOOD, NY 11385-4740
(718) 497-5470
(718) 386-0532
Mailing address
5625 MYRTLE AVE, RIDGEWOOD, NY 11385-4740
(718) 497-5470
(718) 386-0532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0919660001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01540752
—
NY
01
—
08694
SPECTERA
NY
01
—
333195
NVA
NY
01
—
5836
AVESIS
NY
01
—
NY2856001
EYEMED
NY
Enumeration date
11/22/2006
Last updated
02/25/2010
Update your record
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