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Organization

HOLLIS VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STACEY J HANAI OPTICIAN (OWNER)
(718) 465-4999
Entity
Organization

Contact information

Practice address
8787 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11427-2867
(718) 465-4999
(718) 217-6101
Mailing address
8787 FRANCIS LEWIS BLVD, QUEENS VILLAGE, NY 11427-2867
(718) 465-4999
(718) 217-6101

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006379
NY
152W00000X
Optometrist
156FX1800X
Optician
C005878-1
NY
332H00000X
Eyewear Supplier
C005878-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01799119
NY
Enumeration date
09/19/2006
Last updated
07/28/2008
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