Organization
FRESH EYES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SIEGELBAUM O.D. (PRESIDENT)
(718) 454-8484
Entity
Organization
Contact information
Practice address
6130A 190TH ST, FRESH MEADOWS, NY 11365-2721
(718) 454-8484
(718) 454-8910
Mailing address
6130A 190TH ST, FRESH MEADOWS, NY 11365-2721
(718) 454-8484
(718) 454-8910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV43351
NY
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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