Organization
NYC OPTICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY GAN (OWNER)
(718) 902-9592
Entity
Organization
Contact information
Practice address
5623 5TH AVE, BROOKLYN, NY 11220-3414
(718) 635-9333
Mailing address
1354 PENNSYLVANIA AVE, BROOKLYN, NY 11239-2111
(718) 642-3526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/28/2019
Last updated
12/19/2023
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