Organization
NEW YORK OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE TABACHNICK OD (PRESIDENT)
(718) 388-7400
Entity
Organization
Contact information
Practice address
48 GRAHAM AVE, BROOKLYN, NY 11206-4002
(718) 388-7400
Mailing address
7 COUNTRY MEADOW CT, MELVILLE, NY 11747-2026
(718) 388-7400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV002974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02104314
—
NY
Enumeration date
08/29/2006
Last updated
01/06/2009
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