Organization
JAMAICA OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BANGIYEV (OWNER/OPTICIAN)
(347) 419-2575
Entity
Organization
Contact information
Practice address
14620 JAMAICA AVE, JAMAICA, NY 11435-3628
(718) 291-9191
Mailing address
14620 JAMAICA AVE, JAMAICA, NY 11435-3628
(718) 291-9191
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03191682
—
NY
Enumeration date
11/05/2009
Last updated
03/23/2010
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