Organization
PURE VISION OPTICAL 2 LLC
Active
Other names
Pure Vision Optical
Organization subpart
No
Provider details
NPI number
Authorized official
OREN YAKUBOV (OWNER)
(917) 670-5116
Entity
Organization
Contact information
Practice address
53 W FORDHAM RD FRNT 4, BRONX, NY 10468-5110
(917) 670-5116
Mailing address
53 W FORDHAM RD FRNT 4, BRONX, NY 10468-5110
(917) 670-5116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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