Organization
KLM OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE J KELLY (OWNER)
(516) 365-4066
Entity
Organization
Contact information
Practice address
1615 NORTHERN BLVD STE 405, MANHASSET, NY 11030-3033
(516) 365-4066
Mailing address
1615 NORTHERN BLVD STE 405, MANHASSET, NY 11030-3033
(516) 365-4066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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