Organization
11 AVE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEI GUO (OWNER)
(919) 288-9878
Entity
Organization
Contact information
Practice address
6706 11TH AVE, BROOKLYN, NY 11219-5903
(917) 288-9878
Mailing address
6706 11TH AVE, BROOKLYN, NY 11219-5903
(917) 288-9878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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