Organization
FAMILY EYE CARE OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG LISITSYN OD (OPTOMETRIST)
(718) 755-0656
Entity
Organization
Contact information
Practice address
332 9TH ST, BROOKLYN, NY 11215-4058
(718) 965-2545
Mailing address
PO BOX 520390, FLUSHING, NY 11352-0390
(718) 755-0656
(718) 969-1326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T006388
NY
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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