Organization
GARDEN CITY MALL VISION EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY VAYNER (OWNER)
(929) 666-0438
Entity
Organization
Contact information
Practice address
630 OLD COUNTRY RD UNIT 1091A, GARDEN CITY, NY 11530-3470
(516) 294-0011
Mailing address
630 OLD COUNTRY RD UNIT 1091A, GARDEN CITY, NY 11530-3470
(516) 294-0011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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