Organization
SWDJ LLC
Active
Other names
86 Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DAWEI SUN (AUTHORIZED OFFICIAL/OWNER)
(646) 476-5210
Entity
Organization
Contact information
Practice address
15 DIVISION ST, NEW YORK, NY 10002-6710
(646) 476-5210
(646) 476-5207
Mailing address
15 DIVISION ST, NEW YORK, NY 10002-6710
(646) 476-5210
(646) 476-5207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
04/10/2023
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