Organization
EYEGLASS LIQUIDATORS INC.
Active
Other names
mirage optica
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKI SCHEBOVITZ (PRESIDENT)
(718) 849-0847
Entity
Organization
Contact information
Practice address
8113 LEFFERTS BLVD, KEW GARDENS, NY 11415-1727
(718) 849-0847
(718) 849-0864
Mailing address
8113 LEFFERTS BLVD, KEW GARDENS, NY 11415-1727
(718) 849-0847
(718) 849-0864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004326-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01764378
—
NY
Enumeration date
10/23/2006
Last updated
05/20/2013
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