Organization
5623 NYC OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELENA PAK (MANAGER)
(929) 924-6019
Entity
Organization
Contact information
Practice address
5623 5TH AVE, BROOKLYN, NY 11220-3414
(718) 635-9333
(718) 765-1113
Mailing address
5623 5TH AVE, BROOKLYN, NY 11220-3414
(718) 635-9333
(718) 765-1113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/20/2025
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