Organization
LENS LAB EXPRESS
Active
Other names
Lens Lab Express-CVS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN SICHERMAN (OWNER)
(718) 224-6778
Entity
Organization
Contact information
Practice address
163-34 JAMAICA AVE, JAMAICA, NY 11432-4912
(718) 526-2332
Mailing address
163-34 JAMAICA AVE, JAMAICA, NY 11432-4912
(718) 526-2332
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01521237
—
NY
Enumeration date
08/06/2007
Last updated
08/06/2007
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