Individual
ISAIAS LOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
8325 37TH AVE, JACKSON HEIGHTS, NY 11372-7320
(718) 426-2725
(718) 426-9748
Mailing address
8325 37TH AVE, JACKSON HEIGHTS, NY 11372-7320
(718) 426-2725
(718) 426-9748
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NY006945-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220762
—
NY
Enumeration date
12/13/2007
Last updated
12/13/2007
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