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Organization

CN VISION CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICOLAS LOPE OPHTHALMIC DISPENSER (PRESIDENT)
(718) 392-1244
Entity
Organization

Contact information

Practice address
4555 46TH ST, WOODSIDE, NY 11377-5227
(718) 392-1244
Mailing address
4555 46TH ST, WOODSIDE, NY 11377-5227
(718) 392-1244

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005711
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02216324
NY
Enumeration date
04/07/2007
Last updated
08/22/2020
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