Organization
BODIM OPTICAL INC
Active
Organization
BODIM OPTICAL INC
Active
Other names
PEARLE VISION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOAZ BEN-JACOB DO (OPHTHALMIC DISPENSER)
(516) 616-1771
Entity
Organization
Contact information
Practice address
1445 HEMPSTEAD TPKE, ELMONT, NY 11003-2400
(516) 616-1771
Mailing address
1445 HEMPSTEAD TPKE, ELMONT, NY 11003-2400
(516) 616-1771
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
007987
NY
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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