Organization
AVENUE D OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART N KING (PRES OPTICIAN)
(718) 629-9490
Entity
Organization
Contact information
Practice address
4403 AVENUE D, BROOKLYN, NY 11203-5725
(718) 629-9490
(718) 451-0494
Mailing address
4403 AVENUE D, BROOKLYN, NY 11203-5725
(718) 629-9490
(718) 451-0494
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0042251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01715439
—
NY
Enumeration date
12/01/2006
Last updated
08/22/2020
Update your record
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